Individual provider Active NPI

Linda K Spitz, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Irvine, CA
National Provider Identifier
1669491197
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
G067672 Issued in CA
Practice address
4199 Campus Dr
Suite 550
Irvine, CA 92612-4684
Phone
(949) 509-6506
Fax
(949) 509-6507
NPI assigned
Jul 18, 2006
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X G067672 CA Primary

Addresses

Primary practice location

4199 Campus Dr
Suite 550
Irvine, CA 92612-4684

Mailing address

PO Box 3903
Tustin, CA 92781-3903
Phone (949) 509-6506

Other names 1

  • Dr. Linda R Kaplan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226001258 CA Practitioner - Neurology 2961398722 Reassigns benefits to 1 organization
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67672CAMDPharmacist
G067672CAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services CurrentSince May 23, 2007 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
Agnews Community Clinic CurrentSince May 23, 2007 Accepting new patients

Locations

2501 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 957-5000

3530 Pomona Blvd
Pomona, CA 91768
Phone (909) 444-7200

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1669491197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3903",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927813903",
            "telephone_number": "949-509-6506",
            "fax_number": "949-509-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR",
            "address_2": "SUITE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124684",
            "telephone_number": "949-509-6506",
            "fax_number": "949-509-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZ",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G067672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "KAPLAN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.