NPIMap

Organization Active NPI

Spine and Sports Urgent Care Center Inc.

  • Urgent Care Clinic/Center
  • Orange, CA
National Provider Identifier
1750770814
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SPINE AND SPORTS URGENT CARE CENTER INC.
Practice address
1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4233
Phone
(949) 280-2561
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SPINE AND SPORTS SPECIALTIES MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mr. Scott Lilly
Title
Administrator
Phone
(805) 701-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X CA Primary

Addresses

Primary practice location

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4233

Mailing address

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4233

Other names 1

  • Spine and Sports Urgent Care Center Other name

National Provider Directory

National Provider Directory
Part of
Spine and Sports Specialities Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1750770814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233",
            "telephone_number": "949-280-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS URGENT CARE CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE AND SPORTS SPECIALTIES MEDICAL GROUP",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-701-8580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Sports Urgent Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.