Organization Active NPI

Westside Pain Management, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Huntington Beach, CA
National Provider Identifier
1770945883
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A136449 Issued in CA
Legal business name
WESTSIDE PAIN MANAGEMENT, INC.
Practice address
17822 Beach Blvd Ste 300
Huntington Beach, CA 92647-7172
Phone
(714) 375-1122
Fax
(949) 863-8581
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Cheryl Goldbaum
Title
Director Administrator
Phone
(714) 375-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A136449 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 300
Huntington Beach, CA 92647-7172

Mailing address

17822 Beach Blvd Ste 300
Huntington Beach, CA 92647-7172
Phone (714) 375-1122

Other practice location 1

3400 W Ball Rd # 304
Anaheim, CA 92804-3738
Phone (714) 375-1122

Other practice location 2

2880 Atlantic Ave Ste 255
Long Beach, CA 90806-1734
Phone (714) 375-1122

Other practice location 3

24301 Paseo De Valencia Ste B
Laguna Woods, CA 92637-3111
Phone (714) 375-1122

Other identifiers 1

IdentifierTypeStateIssuer
199DNNHAMedicaidCA

Other names 1

  • Westside Pain Management Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INFO@WSPAINCLINIC.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707000891 CA Part B Supplier - Clinic/Group Practice 5496047722 Receives reassigned benefits from 4 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

3400 W Ball Rd
#304
Anaheim, CA 92804
Phone (714) 375-1122

24301 Paseo de Valencia
Ste B
Laguna Woods, CA 92637
Phone (714) 375-1122

2880 Atlantic Ave
Ste 255
Long Beach, CA 90806
Phone (562) 424-4815

Interoperability endpoints

  • Direct secure messaging: info@wspainclinic.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1770945883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477172",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477172",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W Ball Rd # 304",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043738",
            "country_code": "US",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Atlantic Ave Ste 255",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061734",
            "country_code": "US",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24301 Paseo De Valencia Ste B",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "926373111",
            "country_code": "US",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTSIDE PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "GOLDBAUM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR ADMINISTRATOR",
        "authorized_official_telephone_number": "714-375-1122"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A136449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199DNNHA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@WSPAINCLINIC.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "17822 Beach Blvd",
            "address_2": "Ste 300",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Westside Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.