Organization Active NPI

Mission Advanced Pain Management & Spine Center, P.C.

  • Pain Clinic/Center
  • Irvine, CA
National Provider Identifier
1518344746
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A130159 Issued in CA
Legal business name
MISSION ADVANCED PAIN MANAGEMENT & SPINE CENTER, P.C.
Practice address
16405 Sand Canyon Ave Ste 210
Irvine, CA 92618-3786
Phone
(949) 441-5445
Fax
(949) 441-5450
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dr. Alfred Joseph Sadek Beshai, M.D.NPI 1184834194
Title
President
Phone
(949) 441-5445

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)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X A130159 CA Primary

Addresses

Primary practice location

16405 Sand Canyon Ave Ste 210
Irvine, CA 92618-3786

Mailing address

16405 Sand Canyon Ave Ste 210
Irvine, CA 92618-3786
Phone (949) 441-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150911000521 CA Part B Supplier - Clinic/Group Practice 7517274350 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CA; Mission Viejo, CA; Irvine, CA
O20230609002156 CA DME Supplier - Physician - Interventional Pain Management 7517274350 Practice locations: Irvine, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mission Advanced Pain Management Spine Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1518344746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183786",
            "telephone_number": "949-441-5445",
            "fax_number": "949-441-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183786",
            "telephone_number": "949-441-5445",
            "fax_number": "949-441-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ADVANCED PAIN MANAGEMENT & SPINE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "BESHAI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "JOSEPH SADEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-441-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A130159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.