Maryam Rahbar, MD, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAHC 77516 Issued in CA

Legal business name

MARYAM RAHBAR, MD, INC.

Practice address

17822 Beach Blvd Ste 101
Huntington Beach, CA 92647-7179

Phone

(714) 847-3666

Fax

(714) 847-7171

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maryam RahbarNPI 1992868368

Title

Director

Phone

(714) 847-3666

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Pacific Coast Spine Institute and Pain Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Coast Spine Institute and Pain CenterCCN 05C0001872

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Maryam Rahbar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Huntington Beach, CA
  • NPI 1992868368
  NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1245393602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11869",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585044",
            "telephone_number": "714-847-3666",
            "fax_number": "714-847-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477179",
            "telephone_number": "714-847-3666",
            "fax_number": "714-847-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM RAHBAR, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "RAHBAR",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-847-3666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "AAAHC 77516",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A2677838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1073514",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY BUSINESS LICENSE",
            "identifier": "A267838",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC ACCREDITATION",
            "identifier": "77516",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT",
            "identifier": "FNP36985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Spine Institute and Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Coast Spine Institute and Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ray Martinez
• Tori Martinez
• Michael Maruska, D.O.
• Chad Michael Marvosh, LMFT
• Mary Poonen, M.D., Inc.
• Mahboubeh Mashayekhi
• Afshin Allen Mashoof, MD
• Anne Roberts Mason-Arnold, LMT
• Kristy Mason, RN, IBCLC
• Roxanna Massoodnia, AUD

• Ambulatory Surgical Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.