Active NPI
Nuvation Pain Group
- Durable Medical Equipment & Medical Supplies
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 20A9128
- Legal business name
- NUVATION PAIN GROUP
- Practice address
- 5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501 - Phone
- (714) 676-5541
- Fax
- (714) 676-5542
- NPI assigned
- Oct 25, 2016
- Last updated
- Aug 29, 2024
- Organization subpart
- Yes
- Parent organization
- NUVATION PAIN GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Lim, DO
- Title
- Ceo
- Phone
- (714) 676-5541
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 20A9128 | CA | Primary |
Addresses
Primary practice location
5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Mailing address
5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Phone (714) 676-5541
National Provider Directory
National Provider Directory- Part of
- Nuvation Pain Group
Locations
5832 Beach Blvd
Unit 208
Buena Park, CA 90621
505 S Virgil Ave
Ste 206
Los Angeles, CA 90020
Phone (213) 622-0021
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Interventional Pain Medicine Physician
- Buena Park, CA
- NPI 1346616695
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Interventional Pain Medicine Physician
- Buena Park, CA
- NPI 1023227154
-
- Pain Medicine (Anesthesiology) Physician
- Irvine, CA
- NPI 1962652875
-
- Family Nurse Practitioner
- Buena Park, CA
- NPI 1386370419
-
- Interventional Pain Medicine Physician
- Buena Park, CA
- NPI 1427580729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1346792462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5832 BEACH BLVD UNIT 209",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215501",
"telephone_number": "714-676-5541",
"fax_number": "714-676-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5832 BEACH BLVD UNIT 209",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215501",
"telephone_number": "714-676-5541",
"fax_number": "714-676-5542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUVATION PAIN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NUVATION PAIN GROUP",
"enumeration_date": "2016-10-25",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-676-5541",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "20A9128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.