Organization Active NPI

Afzaal Iqbal MD Inc

Doing business as Pacific Pain and Spine

  • Pain Medicine (Anesthesiology) Physician
  • Irvine, CA
National Provider Identifier
1336881341
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
AFZAAL IQBAL MD INC
Doing business as
Pacific Pain and Spine
Practice address
1400 Reynolds Ave Ste 100
Irvine, CA 92614-5562
Phone
(949) 397-6080
NPI assigned
Apr 11, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Afzaal Iqbal, MDNPI 1861782674
Title
Medical Director
Phone
(949) 209-8415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1400 Reynolds Ave Ste 100
Irvine, CA 92614-5562

Mailing address

25422 Trabuco Rd Ste 105
Lake Forest, CA 92630-2796
Phone (949) 209-8415

Other names 1

  • Pacific Pain and Spine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.pacpainspine.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220707003857 CA Part B Supplier - Clinic/Group Practice 0345620316 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

25422 Trabuco Rd
Ste 105
Lake Forest, CA 92630
Phone (626) 696-9903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25974/brand/1/csg/1/fhir/r4

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1336881341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD STE 105",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302796",
            "telephone_number": "949-209-8415",
            "fax_number": "445-777-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145562",
            "telephone_number": "949-397-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFZAAL IQBAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "AFZAAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-209-8415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pacpainspine.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Reynolds Ave Ste 100",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926145562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2022; 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.