Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine and Sports Specialities Medical Group

Organization Pain Medicine (Anesthesiology) Physician · NPI 1013306174

Spine and Sports Specialities Medical Group is a Pain Medicine (Anesthesiology) Physician in Orange, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
12

Practice location Address checks out

1120 W La Veta Ave Ste 300
Orange, CA 92868-4233
Phone: (714) 598-1745
Fax: (714) 941-9539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 W La Veta Ave Ste 605, Orange, CA 92868-4219 — (714) 598-1745

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Orthopaedic Surgery Physician Taxonomy 207X00000X (CA)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Radiology Clinic/Center Taxonomy 261QR0200X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1013306174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corinne Walker — Chief Operating Officer · (714) 598-1745
NPI enumeratedJanuary 13, 2015
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address1120 W La Veta Ave Ste 300, Orange, CA 92868-4246

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