INTERVENTIONAL PAIN MEDICAL GROUP (NPI# 1932207248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932207248 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN MEDICAL GROUP |
| Practice Address |
1601 Dove St Suite 170 Newport Beach CA 92660-2433 |
| Mailing Address |
Po Box 3969 Cerritos CA 90703-3969 |
| Practice Telephone | 5624072080 |
| Practice Fax Number | 5624072082 |
| Mailing Telephone | 5624072080 |
| Mailing Fax Number | 5624072082 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | DR. JOHN FRANCIS PETRAGLIA (PRESIDENT) |
| Authorized Official Telephone | 5624072080 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1601 DOVE ST SUITE 170 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144872 | Nader Oskooilar | Psychiatry & Neurology | 1601 Dove St, 290, Newport Beach, CA 92660-2433 | 2005-06-20 |
| 1790157048 | Mary J. Deane, A Marriage and Family Therapy Corporation | Community/Behavioral Health | 1601 Dove St, #230, Newport Beach, CA 92660-2433 | 2015-10-27 |
| 1659767341 | Leg and Vein Institute, Inc | Radiology | 1601 Dove St, Suite 210, Newport Beach, CA 92660-2433 | 2015-04-09 |
| 1770976359 | Dove Street Surgical Center | Clinic/Center | 1601 Dove St, Suite 275, Newport Beach, CA 92660-2433 | 2015-03-06 |
| 1730571514 | Regenerative Orthopedics | Clinic/Center | 1601 Dove St, Ste 275, Newport Beach, CA 92660-2433 | 2015-03-03 |
| 1518359900 | Neuromod Sciences | Clinic/Center | 1601 Dove St, Suite 299, Newport Beach, CA 92660-2433 | 2015-02-23 |
| 1750799680 | Raising Sages Integrative Pediatrics, Inc. | Pediatrics | 1601 Dove St, Suite 276, Newport Beach, CA 92660-2433 | 2014-07-23 |
| 1801208392 | Saiki International LLC | In Home Supportive Care | 1601 Dove St, Suite 212, Newport Beach, CA 92660-2433 | 2014-06-02 |
| 1144630708 | Brian Saiki | Home Health | 1601 Dove St, Suite 212, Newport Beach, CA 92660-2433 | 2014-05-05 |
| 1235495425 | Prerna M Rao | Marriage & Family Therapist | 1601 Dove St, Suite 230, Newport Beach, CA 92660 | 2012-04-02 |
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| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336419068 | William Allen Mathews | Anesthesiology | 7 La Rochelle, Newport Beach, CA 92660-6818 | 2012-01-11 |
| 1720689540 | Pacific Coast Hydration Inc | Anesthesiology | 4630 Campus Dr, Newport Beach, CA 92660-1822 | 2020-11-06 |
| 1972890796 | Brain and Spine Institute of California, Inc. | Anesthesiology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2011-06-30 |
| 1790841799 | Navid Farahmand | Anesthesiology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2006-12-28 |
| 1326011388 | Richard Paicius | Anesthesiology | 450 Newport Center Dr, Suite 650, Newport Beach, CA 92660-7610 | 2006-02-09 |
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| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
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| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.