NPIMap

Organization Active NPI

Spinezone Medical Fitness, Inc.

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1689439739
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINEZONE MEDICAL FITNESS, INC.
Practice address
23161 Lake Center Dr Ste 120
Lake Forest, CA 92630-6822
Phone
(844) 316-7979
Fax
(866) 813-1235
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Ivania Castle
Title
Billing Manager/Credentialing
Phone
(619) 432-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

23161 Lake Center Dr Ste 120
Lake Forest, CA 92630-6822

Mailing address

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404
Phone (844) 316-7979

Other names 1

  • SpineZone Medical Fitness, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Livara HLTH Med GRP PC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Subparts reporting this organization as parent 12

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1689439739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084404",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 LAKE CENTER DR STE 120",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306822",
            "telephone_number": "844-316-7979",
            "fax_number": "866-813-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEZONE MEDICAL FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "IVANIA",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "619-432-4634"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineZone Medical Fitness, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.