John Francis Petraglia, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G68169 Issued in CA

Practice address

1601 Dove St
Suite 170
Newport Beach, CA 92660-2433

Phone

(949) 474-7246

Fax

(949) 474-7247

NPI assigned

Dec 16, 2005

Last updated

Apr 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Interventional Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1811292063
  Authorized official Same address or phone
• Interventional Pain Medical Group

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
  • NPI 1932207248
  Authorized official Same address or phone
• John Petraglia M.D., Inc

  • Anesthesiology Physician
  • Santa Fe Springs, CA
  • NPI 1710177324
  NPD (past) Authorized official
• San Joaquin Valley Interventional Pain Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Fresno, CA
  • NPI 1710085014
  Authorized official Same address or phone
• Newport Multi Specialty Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1285664466
  NPD (past)
• Orangewood Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Orange, CA
  • NPI 1326223298
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1417933938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3969",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907033969",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-474-7246",
            "fax_number": "949-474-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAGLIA",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G68169",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G68169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G681690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Helton Professional Corporation
• Ross M Peters, D.D.S.
• Andrea Rae Petersen, MPH, PA-C
• Angela Peterson
• Samuel R Peterson, MD
• Ryan Nicholas Petrecca
• Russell Sean Petrie, M.D.
• Michelle Theresa Petrillo Phan
• Babak Pezeshki, M.D.
• Chambrielle Thuy Pham, MFT

• Interventional Pain Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.