PAIN MANAGEMENT CENTER OF IRVINE, INC. (NPI# 1225404957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225404957 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTER OF IRVINE, INC. |
| Practice Address |
4902 Irvine Center Dr Ste 102 Irvine CA 92604-3334 |
| Practice Telephone | 9498574712 |
| Practice Fax Number | 9498574797 |
| Mailing Telephone | 9498574712 |
| Mailing Fax Number | 9498574797 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | DR. ADAM WEISSMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7606414359 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A74030 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4902 IRVINE CENTER DR STE 102 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285858274 | Ji Yon Han | Pediatrics | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194381830 | Alex Wah Hin Yeung | General Practice | 8093 Scholarship # 2, Irvine, CA 92612-5697 | 2019-05-17 |
| 1114339272 | Ebenezer Wellness Center, Inc. | General Practice | 16261 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3608 | 2014-05-23 |
| 1689912917 | Wenhong Hsu | General Practice | 10 Ponderosa, Irvine, CA 92604-3748 | 2013-01-21 |
| 1477855856 | Khashayar Sarabi, Md, A Medical Corp | General Practice | 2967 Michelson Dr, Ste G444, Irvine, CA 92612-0657 | 2010-11-17 |
| 1649435199 | Raihan U. Haque | General Practice | 16460 Bake Pkwy, Irvine, CA 92618-4665 | 2008-07-24 |
| 1780851808 | Maryellen O'reilly | General Practice | 60 Discovery, Irvine, CA 92618-3105 | 2008-05-08 |
| 1821288630 | Meagan Marie Marcuccilli | General Practice | 4870 Barranca Pkwy Ste 110, Irvine, CA 92604-4787 | 2007-07-27 |
| 1780600486 | Sarah Elizabeth Stanton | General Practice | 9 Spring Buck, Irvine, CA 92614-7431 | 2006-07-14 |
| 1871558627 | Ray J Lee | General Practice | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2006-04-17 |
| 1194155945 | Time Unwind Medical Group, Inc. | General Practice | 16460 Bake Pkwy, Irvine, CA 92618-4665 | 2013-11-14 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.