Comprehensive Pain & Sports Rehabilitation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

COMPREHENSIVE PAIN & SPORTS REHABILITATION

Doing business as

Joseph C. Peck, M.D.

Practice address

1200 Rosecrans Ave Ste 202
Manhattan Beach, CA 90266-2470

Phone

(310) 618-9922

Fax

(888) 618-2660

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Carl Peck, M.DNPI 1053368472

Title

Owner

Phone

(310) 618-9922

Specialties & licenses 2

Addresses

Other names 1

• Joseph C. Peck, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Joseph Carl Peck, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Manhattan Beach, CA
  • NPI 1053368472
  Medicare reassignment Care Compare group Authorized official
• Matthew Ryan Robinson, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hermosa Beach, CA
  • NPI 1427402288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1427089176",
    "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": "1200 ROSECRANS AVE STE 202",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-618-9922",
            "fax_number": "888-618-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN & SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-618-9922",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph C. Peck, M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph C. Peck, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth V Cohen, LMFT
• Michele Joanne Cohen, D.C.
• Roxanne Collings
• Laurel L Collins, LMFT
• Christa Colvin, M.D.
• Janice Conner, MD
• Christine Louise Constable, MSN, WHNP-BC
• Cornerstone Caregiving West LLC
• Corona Hospital Partners Inc
• Nicole Cortez

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.