Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spine and Sports Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1295124352

Spine and Sports Imaging LLC provides Diagnostic Radiology Physician services in Orange, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 W La Veta Ave Ste 300
Orange, CA 92868-4233 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 280-2561
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (CA)

Record details

NPI number1295124352
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpine and Sports Specialties Medical Group
Authorized official Scott Lilly — Administrator · (805) 701-8580
Other names Spine And Sports Imaging
NPI enumeratedJanuary 13, 2015
Last updated in NPPESJanuary 13, 2015
Mailing address1120 W. La Veta Avenue, Suite 300, Orange, CA 92868-4233

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