Pain Management a Professional Corporation

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

A52207 Issued in CA

Legal business name

PAIN MANAGEMENT A PROFESSIONAL CORPORATION

Practice address

1601 Dove St Ste 100
Newport Beach, CA 92660-2410

Phone

(877) 669-8511

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Raafat W Girgis, MD

Title

Medical Director

Phone

(877) 669-8511

Specialties & licenses 4

Addresses

Other names 1

• Integrated Health Doing business as

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1366811176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602410",
            "telephone_number": "877-669-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "877-669-8511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Michelle Packer, RNFA
• Marc Packey, RPSGT, CCSH
• Veronica Paco
• Bethzaida Guadalupe Paez
• Richard Paicius, M.D.
• Pain Relief Acupuncture Group,Inc
• Grace Pak, D.C., LAC
• Thao Palacio
• Samantha Rose Palacios
• Alissa Palanjian, FNP-BC

• Addiction Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.