SPINE AND SPORTS SURGERY CENTER – NPI #1679913552
Clinic/Center

SPINE AND SPORTS SURGERY CENTER is an AHC clinic located in CAMPBELL, CA. NPPES has assigned the NPI number 1679913552 to SPINE AND SPORTS SURGERY CENTER on June 25, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPINE AND SPORTS SURGERY CENTER” is a dba name, the actual legal business name for this organization is SPINE SPORTS SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Aug 11, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE AND SPORTS SURGERY CENTER below.

NPI Profile for
SPINE SPORTS SURGERY CENTER, LLC

NPI Number
1679913552
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE SPORTS SURGERY CENTER, LLC
Doing Business As (dba): SPINE AND SPORTS SURGERY CENTER
Primary location
429 LLEWELLYN AVE
CAMPBELL, CA 95008-1948
Phone: (408) 378-6773 Fax: (408) 520-4295
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHERMAN TRAN
OWNER
Phone: (408) 378-6773
Updated
Certification Date
Jul 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SPINE AND SPORTS SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTANCAF1851
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.