Organization Active NPI

Pacific Pain Managment

  • Case Management Agency
  • Fountain Valley, CA
National Provider Identifier
1124384615
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
A52751 Issued in CA
Legal business name
PACIFIC PAIN MANAGMENT
Practice address
8700 Warner Ave
Fountain Valley, CA 92708-3207
Phone
(714) 847-3322
Fax
(714) 847-3993
NPI assigned
Apr 9, 2012
Organization subpart
Yes
Parent organization
PACIFIC PAIN MANAGMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Atef Rafla
Title
Officer
Phone
(714) 847-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X A52751 CA Primary

Addresses

Primary practice location

8700 Warner Ave
Fountain Valley, CA 92708-3207

Mailing address

8700 Warner Ave
Fountain Valley, CA 92708-3207
Phone (714) 847-3322

National Provider Directory

National Provider Directory
Part of
Pacific Pain Managment

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1124384615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083207",
            "telephone_number": "714-847-3322",
            "fax_number": "714-847-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083207",
            "telephone_number": "714-847-3322",
            "fax_number": "714-847-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN MANAGMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC PAIN MANAGMENT",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "RAFLA",
        "authorized_official_first_name": "ATEF",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "714-847-3322",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "A52751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.