Active NPI
Medhat F. Mikhael, M.D., Inc
- Pain Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1508020561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A55997
- Legal business name
- MEDHAT F. MIKHAEL, M.D., INC
- Practice address
- 18035 Brookhurst St # 1200
Fountain Valley, CA 92708-6738 - Phone
- (714) 963-7240
- Fax
- (714) 963-7224
- NPI assigned
- Jul 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Medhat Mikhael, M.D.
- Title
- President
- Phone
- (562) 595-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A55997 | CA | Primary |
Addresses
Primary practice location
18035 Brookhurst St # 1200
Fountain Valley, CA 92708-6738
Mailing address
16787 Beach Blvd # 276
Huntington Beach, CA 92647-4848
Phone (714) 845-9273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005599700 | Other | CA | MEDI-CAL |
| 00A55970 | Medicaid | CA |
Other names 1
- Pain Medicine Associates, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Medhat F Mikhael MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1619243722
Locations
18111 Brookhurst St
Ste 3100
Fountain Vly, CA 92708
Phone (714) 378-7390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1508020561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16787 BEACH BLVD # 276",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474848",
"telephone_number": "714-845-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18035 BROOKHURST ST # 1200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086738",
"telephone_number": "714-963-7240",
"fax_number": "714-963-7224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHAT F. MIKHAEL, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-17",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "MIKHAEL",
"authorized_official_first_name": "MEDHAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-595-0060",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A55997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "005599700",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A55970",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Medicine Associates, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pain Medicine Associates, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.