Interventional Spine Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTERVENTIONAL SPINE CENTER, LLC

Practice address

24012 Calle de la Plata Ste 130
Laguna Hills, CA 92653-3632

Phone

(949) 588-7246

Fax

(866) 829-7143

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Jennifer Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 3

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

• Kais I Alsharif, MD

  • Interventional Pain Medicine Physician
  • Long Beach, CA
  • NPI 1730380007
  Medicare reassignment NPD
• Matthew Eugene Harris, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Laguna Hills, CA
  • NPI 1194951194
  Medicare reassignment NPD
• Amir Abbas Pouradib, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Laguna Hills, CA
  • NPI 1326087727
  Medicare reassignment

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1639498579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926165105",
            "telephone_number": "949-588-7246",
            "fax_number": "866-829-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 130",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-588-7246",
            "fax_number": "866-829-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 S Anaheim Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055582",
            "country_code": "US",
            "telephone_number": "949-588-7246",
            "fax_number": "866-829-7143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seana Inducil, BCBA
• Inland Psychiatric Medical Group, Inc
• Lance Inouye
• Insight Health Corp (INSIGHT IMAGING - Laguna Hills)
• Interventional Spine Center, LLC
• Karen Iovine
• Irwin I Rosenfeld MD a Professional Corporation
• Ishani Shah DDS, Inc
• Zach Ismirnioglou, BA
• Ivan W Ho DDS Inc

• Ambulatory Surgical Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.