Pacific Comprehensive Pain Management Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

C52023 Issued in CA

Legal business name

PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC

Practice address

3851 Katella Ave
Ste. 301
Los Alamitos, CA 90720-3309

Phone

(562) 799-3888

Fax

(562) 799-3880

NPI assigned

Dec 15, 2008

Organization subpart

No

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

Authorized official

Name

Stanley Chou, MDNPI 1194722611

Title

President

Phone

(562) 799-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

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

• Pacific Comprehensive Pain Management, Inc

  • Non-Pharmacy Dispensing Site
  • Los Alamitos, CA
  • NPI 1821389818
  NPPES parent name

Practitioners 5

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

• Stanley K Chou, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Los Alamitos, CA
  • NPI 1194722611
  Medicare reassignment Care Compare group Authorized official
• Roger Moon, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Alamitos, CA
  • NPI 1881952828
  Medicare reassignment Care Compare group NPD
• Kimberly Peralta, FNP-C

  • Family Nurse Practitioner
  • Los Alamitos, CA
  • NPI 1669282612
  NPD (past)
• Thanh T Pham, FNP-C

  • Nurse Practitioner
  • Los Alamitos, CA
  • NPI 1295628675
  NPD (past)
• Sarah Wu, NP

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1548041064
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1679718944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907200444",
            "telephone_number": "562-799-3888",
            "fax_number": "562-799-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "STE. 301",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-799-3888",
            "fax_number": "562-799-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COMPREHENSIVE PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-799-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C52023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Ostrow, M.D.
• Lawrence Hiroshi Ota, D.D.S.
• Alexis Otoole
• P Emigh and T Emigh Dental Partnership a General Partnership
• Pacific Coast Ultrasound, Inc.
• Pacific Comprehensive Pain Management, Inc
• Pacific Healing and Wellness, Inc.
• Pacific Neurology Consultants, Inc.
• Adrian Velasco Padilla
• Nelson Pai, DDS

• Pain Medicine (Anesthesiology) Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.