California Sports and Spine Institute, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CALIFORNIA SPORTS AND SPINE INSTITUTE, PC

Practice address

51 N 5TH Ave Ste 301
Arcadia, CA 91006-3712

Phone

(818) 572-3748

Fax

(888) 425-9079

NPI assigned

Jan 27, 2021

Organization subpart

Yes

Parent organization

CALIFORNIA SPORTS AND SPINE INSTITUTE, PCAs reported in NPPES

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

Authorized official

Name

Maxim Moradian, MD

Title

Owner

Phone

(818) 338-6860

Specialties & licenses 1

Addresses

Part of

California Sports and Spine

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• California Sports and Spine Institute, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, CA
  • NPI 1801327606
  NPPES parent name

Practitioners 2

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

• Jungwoo James Lieu, DO

  • Physical Medicine & Rehabilitation Physician
  • Montclair, CA
  • NPI 1699330506
  NPD (past)
• Revik Vartanian, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Arcadia, CA
  • NPI 1811352040
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1972194546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8323",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912240323",
            "telephone_number": "818-338-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE STE 301",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063712",
            "telephone_number": "818-572-3748",
            "fax_number": "888-425-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPORTS AND SPINE INSTITUTE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA SPORTS AND SPINE INSTITUTE, PC",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-338-6860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.