NORDY S SPIVACK M.D. NPI 1316974686

NPI Information

NPI: 1316974686
Provider Name: NORDY S SPIVACK, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1140 W. LA VETA AVE
SUITE # 640
ORANGE, CA
ZIP 92868
Phone: (714) 564-3300
Get Directions

Nordy S Spivack, M.D. is a cardiovascular disease internal medicine in Orange, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Nordy S Spivack, M.D. NPI is 1316974686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1140 W. LA VETA AVE
SUITE # 640
ORANGE, CA
ZIP 92868-228
Phone: (714) 564-3300
Fax: (714) 564-3318

The enumeration date for this NPI number is 6/26/2006 and was last updated on 9/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G19664	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DEA	OTHER	CALIFORNIA	AS5120047
2	GR0064090	MEDICAID	CALIFORNIA
3	A40717	MEDICARE UPIN	CALIFORNIA
4	G19664	OTHER	CALIFORNIA	MEDICAL LICENSE
5	W13178	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP MCR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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