Spinal Iq LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPINAL IQ LLC

Practice address

7131 Yorktown Ave # 1069
Huntington Beach, CA 92648-2464

Phone

(310) 463-3619

NPI assigned

May 15, 2025

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya GilliamNPI 1588278964

Title

VP of Billing

Phone

(972) 632-6877

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonya Gilliam

  • Specialist
  • Farmers Branch, TX
  • NPI 1588278964
  Authorized official Same address or phone

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1538950878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 YORKTOWN AVE # 1069",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482464",
            "telephone_number": "310-463-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 YORKTOWN AVE # 1069",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482464",
            "telephone_number": "310-463-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL IQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "VP OF BILLING",
        "authorized_official_telephone_number": "972-632-6877"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alita Marie Spencer
• Robert Sperring, LMFT
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• Rachael Spohn
• Sport & Spine, Inc.
• Sportpharm Pharmaceuticals, Inc.

• Specialist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.