Premier Pain Consultants

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PREMIER PAIN CONSULTANTS

Practice address

150 Laguna Rd Ste a
Fullerton, CA 92835-3614

Phone

(714) 525-8822

Fax

(714) 525-5193

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wei Wah Kwok, M.D.

Title

Ceo

Phone

(714) 525-8822

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJDIAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Chuang, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Irvine, CA
  • NPI 1225231491
  Medicare reassignment Care Compare group NPD
• Joseph T Ho, M.D.

  • Interventional Pain Medicine Physician
  • Fullerton, CA
  • NPI 1285856609
  Medicare reassignment Care Compare group NPD
• Wei Wah Kwok, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fullerton, CA
  • NPI 1861430902
  Medicare reassignment Care Compare group NPD
• Thomas Minh Phan, MD

  • Interventional Pain Medicine Physician
  • Fullerton, CA
  • NPI 1972999753
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1053575837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353615",
            "telephone_number": "714-525-8822",
            "fax_number": "714-525-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353614",
            "telephone_number": "714-525-8822",
            "fax_number": "714-525-5193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15785 Laguna Canyon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183165",
            "country_code": "US",
            "telephone_number": "714-525-8822",
            "fax_number": "714-525-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "WEI WAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-525-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.