Active NPI
Center for Pain Relief
- Ambulatory Surgical Clinic/Center
- Costa Mesa, CA
National Provider Identifier
1629362140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- FNP41445
- Legal business name
- CENTER FOR PAIN RELIEF
- Practice address
- 1520 Nutmeg PL Ste 103
Costa Mesa, CA 92626-2557 - Phone
- (714) 352-3062
- NPI assigned
- Jun 1, 2011
- 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
- Daniel Bonis, MD
- Title
- Medical Director
- Phone
- (714) 352-3062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FNP41445 | CA | Primary |
Addresses
Primary practice location
1520 Nutmeg PL Ste 103
Costa Mesa, CA 92626-2557
Mailing address
1520 Nutmeg PL Ste 112
Costa Mesa, CA 92626-2557
Phone (714) 352-3062
National Provider Directory
National Provider Directory- Tax ID family
- Center for Pain Relief
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Costa Mesa, CA
- NPI 1205142890
Locations
1520 Nutmeg Pl
Ste 112
Costa Mesa, CA 92626
Phone (714) 352-3062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1629362140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 NUTMEG PL STE 112",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262557",
"telephone_number": "714-352-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 NUTMEG PL STE 103",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262557",
"telephone_number": "714-352-3062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PAIN RELIEF",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "BONIS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-352-3062",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "FNP41445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
- Center for Better Health a Medical Group, Inc.
- Center for Better Health, a Medical Group, Inc.
- Center for Endometriosis and Fertility
- Center for Endometriosis and Fertility
- Center for Human Potential LLC
- Jose E Cerda, PT, DPT
- Valeria Cerda
- Cerritos Reference Laboratories Inc (Innovative Bioanalysis Laboratory)
- Selene Aylene Cervantes-Avina
- Evelyn Jhoana Cervantes, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.