Specialty Surgical Center of Irvine LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPECIALTY SURGICAL CENTER OF IRVINE LP

Practice address

15825 Laguna Canyon Rd
Ste. 200
Irvine, CA 92618-2125

Phone

(310) 659-6333

Fax

(310) 659-2333

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer B Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Listed as

Specialty Surgical Center IrvineCCN 05C0001671

Medicare certification status

Terminated Voluntary: merger or closure, Feb 2, 2025From the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• UC Irvine Health Cancer Center, Newport Pacific Medical Center

  • Infusion Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1558783696

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Michael Graham, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Laguna Woods, CA
  • NPI 1902809551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1306851902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182127",
            "telephone_number": "949-341-3499",
            "fax_number": "949-788-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 LAGUNA CANYON RD",
            "address_2": "STE. 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182125",
            "telephone_number": "310-659-6333",
            "fax_number": "310-659-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGICAL CENTER OF IRVINE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Spangler
• Hilary Hayashi Spannagel
• Alison Spanoghe
• Blake Butler Sparks, M.D.
• Korrie Sparks, OTD, OTR/L
• Rafael Speck, LMFT
• Spectrum Internal Medicine Associates, Inc. a Professional Corporation
• Spectrum Pharmacy
• Spectrum Therapy and Sports Medicine
• Spectrum Therapy and Sports Performance

• All providers in Irvine, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.