Organization Active NPI

Pain Management Center of Irvine, Inc.

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1225404957
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A74030 Issued in CA
Legal business name
PAIN MANAGEMENT CENTER OF IRVINE, INC.
Practice address
4902 Irvine Center Dr Ste 102
Irvine, CA 92604-3334
Phone
(949) 857-4712
Fax
(949) 857-4797
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Dr. Adam Weissman, M.D.
Title
Medical Director
Phone
(760) 641-4359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A74030 CA Primary

Addresses

Primary practice location

4902 Irvine Center Dr Ste 102
Irvine, CA 92604-3334

Mailing address

4902 Irvine Center Dr Ste 102
Irvine, CA 92604-3334
Phone (949) 857-4712

National Provider Directory

National Provider Directory

Locations

4902 Irvine Center Dr
Ste 102
Irvine, CA 92604
Phone (949) 757-3690

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1225404957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-857-4712",
            "fax_number": "949-857-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-857-4712",
            "fax_number": "949-857-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF IRVINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-641-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A74030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.