NPIMap

Organization Active NPI

Medhat F. Mikhael, M.D., Inc

  • Pain Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1053341933
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MEDHAT F. MIKHAEL, M.D., INC
Practice address
18035 Brookhurst St # 1200
Fountain Valley, CA 92708-6738
Phone
(714) 963-7240
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracie Gari
Title
Chief Administrative Officer
Phone
(813) 549-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

18035 Brookhurst St # 1200
Fountain Valley, CA 92708-6738

Mailing address

16787 Beach Blvd # 276
Huntington Beach, CA 92647-4848
Phone (714) 963-7240

Other practice location 1

24411 Health Center Dr Ste 610
Laguna Hills, CA 92653-3672
Phone (714) 963-7240

Other practice location 2

3620 Atlantic Ave
Long Beach, CA 90807-3418
Phone (562) 595-0060

Other practice location 3

26137 La Paz Rd Ste 140
Mission Viejo, CA 92691-5329
Phone (813) 549-2134

Other practice location 4

295 Imperial Hwy Ste 100
Fullerton, CA 92835-1020
Phone (813) 549-2134

Other identifiers 1

IdentifierTypeStateIssuer
00A559970MedicaidCA

Other names 2

  • Pain Medicine Associates Doing business as
  • Pain Medicine Associates, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL @painassociate.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060508000587 CA Part B Supplier - Clinic/Group Practice 7315958188 Receives reassigned benefits from 11 practitioners
Practice locations: Fountain Valley, CA; Fullerton, CA; Laguna Hills, CA; Long Beach, CA; Mission Viejo, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

5901 Warner Ave
#342
Huntington Beach, CA 92649
Phone (562) 595-0060

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060

3545 Long Beach Blvd
Ste 105
Long Beach, CA 90807
Phone (562) 595-0060

26137 La Paz Rd
Ste 140
Mission Viejo, CA 92691
Phone (949) 364-9595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1053341933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16787 BEACH BLVD # 276",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474848",
            "telephone_number": "714-963-7240",
            "fax_number": "714-963-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18035 BROOKHURST ST # 1200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086738",
            "telephone_number": "714-963-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24411 Health Center Dr Ste 610",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533672",
            "country_code": "US",
            "telephone_number": "714-963-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073418",
            "country_code": "US",
            "telephone_number": "562-595-0060",
            "fax_number": "562-595-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26137 La Paz Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926915329",
            "country_code": "US",
            "telephone_number": "813-549-2134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Imperial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928351020",
            "country_code": "US",
            "telephone_number": "813-549-2134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDHAT F. MIKHAEL, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559970",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@painassociate.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3620 Atlantic Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908073418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pain Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain Medicine Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.