Organization Active NPI

Spinal-Iq Pro Inc

  • Neurology Physician
  • Huntington Beach, CA
National Provider Identifier
1699566935
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SPINAL-IQ PRO INC
Practice address
7131 Yorktown Ave # 1069
Huntington Beach, CA 92648-2464
Phone
(310) 463-3619
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Gregory Howard Pellatt
Title
Owner
Phone
(310) 463-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

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

Mailing address

7131 Yorktown Ave # 1069
Huntington Beach, CA 92648-2464
Phone (310) 463-3619

Other practice location 1

814 13th St
Huntington Beach, CA 92648-3435
Phone (310) 463-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813001178 CA Part B Supplier - Clinic/Group Practice 1759889280 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

7131 Yorktown Ave
Huntington Beach, CA 92648
Phone (310) 463-3619

Practitioners & affiliated clinicians

Practitioners 3

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": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1699566935",
    "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": [
        {
            "address_1": "814 13th St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926483435",
            "country_code": "US",
            "telephone_number": "310-463-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINAL-IQ PRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "PELLATT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-463-3619"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.