BUTANI PAIN CLINIC INC (NPI# 1477780013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477780013 |
| Entity Type | Organization |
| Organization Name | BUTANI PAIN CLINIC INC |
| Practice Address |
170 S Main St Suite 200 Orange CA 92868-2801 |
| Mailing Address |
255 S Grand Ave Apt 2403 Los Angeles CA 90012-3047 |
| Practice Telephone | 2136207600 |
| Mailing Telephone | 2136207600 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | NEIL BUTANI I (PRESIDENT) |
| Authorized Official Telephone | 2136207600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
170 S MAIN ST SUITE 200 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124065891 | Jonathan Thomas Megerian | Pediatrics | 170 S Main St, Orange, CA 92868-2801 | 2006-06-01 |
| 1568071660 | Elizabeth Ann Custodio | Nurse Practitioner | 170 S Main St, Orange, CA 92868-2801 | 2020-07-24 |
| 1063044683 | Eric Hideyuki Ishijima | Behavioral Analyst | 170 S Main St, Orange, CA 92868-2801 | 2020-02-11 |
| 1659918852 | Children's Hospital of Orange County | Psychiatry & Neurology | 170 S Main St, Orange, CA 92868-2801 | 2019-12-06 |
| 1568699106 | Butani Dermatology Inc | Dermatology | 170 S Main St, Suite 200, Orange, CA 92868-2801 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881126258 | Nita Chen | Psychiatry & Neurology | 200 S Manchester Ave Ste 206, Orange, CA 92868-3226 | 2017-04-03 |
| 1235494089 | Manisha Kak Korb | Psychiatry & Neurology | 200 S Manchester Ave Ste 110, Orange, CA 92868-3214 | 2012-07-09 |
| 1730418146 | Szofia S. Bullain | Psychiatry & Neurology | 101 The City Dr S Bldg 53, Uci Medical Center - Department of Neurology, Orange, CA 92868-3201 | 2009-12-14 |
| 1821229584 | Yoon Jae Choi | Psychiatry & Neurology | 100 The City Dr S Ste 107, Orange, CA 92868-3204 | 2009-07-29 |
| 1992824601 | Robert Walter Soll | Psychiatry & Neurology | 16701 Days Bridge Rd, Orange, VA 22960-9105 | 2007-03-27 |
| 1225104193 | Wengui Yu | Psychiatry & Neurology | 200 S Manchester Ave # 206e, Orange, CA 92868-3217 | 2006-11-24 |
| 1356421515 | Tahseen Mozaffar | Psychiatry & Neurology | 200 S. Manchester Avenue Ste. 110, Uci Medical Center, Orange, CA 92868 | 2006-10-16 |
| 1841210846 | John W Chen | Psychiatry & Neurology | 2617 E Chapman Ave Ste 307, Orange, CA 92869-3225 | 2006-07-20 |
| 1336116904 | Namita Goyal | Psychiatry & Neurology | 200 S Manchester Ave, 110, Orange, CA 92868-3217 | 2006-03-02 |
| 1750369377 | David Anthony Lombardi | Psychiatry & Neurology | 1467 N Wanda Rd, #165, Orange, CA 92867-5328 | 2006-01-04 |
| Find all providers in ORANGE | ||||
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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.