Interventional Spine Center, LLC
NPI 1639498579 · Ambulatory Surgical Clinic/Center · Laguna Hills, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interventional Spine Center, LLC is a Ambulatory Surgical Clinic/Center organization in Laguna Hills, CA (NPI 1639498579).
Provider details
- NPI number
- 1639498579
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,119 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 376 | $463 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 241 | $391 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 172 | $470 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance62321 | 119 | $392 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 90 | $322 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Additional practice locations (1)
- 947 S Anaheim Blvd Ste 215Anaheim, CA 92805-5582Phone: (949) 588-7246Fax: (866) 829-7143
Registry dates
- Enumerated
- 2010-05-17
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Interventional Spine Center, LLC's NPI number?
- Interventional Spine Center, LLC's National Provider Identifier (NPI) is 1639498579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interventional Spine Center, LLC?
- Interventional Spine Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Interventional Spine Center, LLC located?
- Interventional Spine Center, LLC's practice location on file with NPPES is 24012 Calle De La Plata Ste 130, Laguna Hills, CA 92653-3632.
- What is Interventional Spine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Interventional Spine Center, LLC is (949) 588-7246.
- Does Interventional Spine Center, LLC accept Medicare?
- Interventional Spine Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Interventional Spine Center, LLC?
- The authorized official listed on Interventional Spine Center, LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interventional Spine Center, LLC's NPI active?
- Yes — Interventional Spine Center, LLC's NPI (1639498579) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.