NPIMap

Organization Active NPI

Oc Pain Doctor PC

  • Preferred Provider Organization
  • Tustin, CA
National Provider Identifier
1205220183
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
OC PAIN DOCTOR PC
Practice address
1254 Irvine Blvd
Suite 150
Tustin, CA 92780-3509
Phone
(714) 669-0399
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Nandita Rani Kakar, D.O.
Title
Director
Phone
(714) 669-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1254 Irvine Blvd
Suite 150
Tustin, CA 92780-3509

Mailing address

1254 Irvine Blvd
Suite 150
Tustin, CA 92780-3509
Phone (714) 669-0399

National Provider Directory

National Provider Directory

Locations

1254 Irvine Blvd
Ste 150
Tustin, CA 92780
Phone (714) 669-0399

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1205220183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 IRVINE BLVD",
            "address_2": "SUITE 150",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803509",
            "telephone_number": "714-669-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 IRVINE BLVD",
            "address_2": "SUITE 150",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803509",
            "telephone_number": "714-669-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PAIN DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "KAKAR",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-669-0399",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.