Organization Active NPI

Center for Pain Relief

  • Ambulatory Surgical Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1629362140
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
FNP41445 Issued in CA
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

Updated by the provider on Jun 1, 2011

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)CodeLicenseStatePrimary
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 Relief2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

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.

Verify at the official NPI Registry.