Individual provider Active NPI

Medhat Fouad Mikhael, M.D.

  • Pain Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1558397331
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A55997 Issued in CA
Practice address
1122 Bristol St Ste 110
Costa Mesa, CA 92626-7972
Phone
(714) 252-7490
Fax
(714) 203-8380
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A55997 CA Primary

Addresses

Primary practice location

1122 Bristol St Ste 110
Costa Mesa, CA 92626-7972

Mailing address

2549 Eastbluff Dr # 313
Newport Beach, CA 92660-3500
Phone (714) 252-7490

Other identifiers 2

IdentifierTypeStateIssuer
005599700OtherCAMEDICAL
00A559970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000959 CA Practitioner - Anesthesiology 7517977994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medhat F Mikhael MD IncGroup PAC ID 7315958188, 11 clinicians

Practice addresses (Care Compare)

3620 Atlantic Ave
Long Beach, CA 90807-3418
Phone (562) 595-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A55997CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhat F. Mikhael, M.D., Inc Pain Medicine CurrentSince Feb 1, 2006 Accepting new patients
Robyn K Sato DO Medical Corporation Past Accepting new patients
Pain Medicine Partners a Professional Corporation Pain Medicine PastSince May 1, 2026 Accepting new patients

Locations

9900 Talbert Ave
Ste 203
Fountain Vly, CA 92708
Phone (714) 378-7010

18255 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 378-5330

18035 Brookhurst St
Ste 1200
Fountain Vly, CA 92708
Phone (714) 963-7240

295 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 770-8366

5901 Warner Ave
#342
Huntington Beach, CA 92649
Phone (562) 595-0060

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060

520 Superior Ave
Ste 340
Newport Beach, CA 92663
Phone (714) 963-7240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1558397331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR # 313",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500",
            "telephone_number": "714-252-7490",
            "fax_number": "714-203-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BRISTOL ST STE 110",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267972",
            "telephone_number": "714-252-7490",
            "fax_number": "714-203-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAEL",
        "first_name": "MEDHAT",
        "middle_name": "FOUAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A55997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "005599700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.