Organization Active NPI

Pinnacle Pain & Regenerative Medicine Inc

  • Pain Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1578199147
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PINNACLE PAIN & REGENERATIVE MEDICINE INC
Practice address
24452 Health Center Dr
Laguna Hills, CA 92653-3604
Phone
(949) 290-3972
Fax
(562) 786-8613
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Paolo Jorge, MDNPI 1669891727
Title
Authorized Official
Phone
(949) 290-3972

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

24452 Health Center Dr
Laguna Hills, CA 92653-3604

Mailing address

26051 Red Corral Rd
Laguna Hills, CA 92653-6310
Phone (949) 290-3972

National Provider Directory

National Provider Directory

Locations

26732 Crown Valley Pkwy
Ste 541
Mission Viejo, CA 92691
Phone (949) 388-7190

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1578199147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26051 RED CORRAL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536310",
            "telephone_number": "949-290-3972",
            "fax_number": "562-786-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24452 HEALTH CENTER DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533604",
            "telephone_number": "949-290-3972",
            "fax_number": "562-786-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN & REGENERATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-290-3972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.