Coast Pain Management Medical Group, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G73289 Issued in CA

Legal business name

COAST PAIN MANAGEMENT MEDICAL GROUP, INC.

Practice address

1950 East 17TH Street
Suite #200
Santa Ana, CA 92705-6852

Phone

(714) 495-4050

Fax

(714) 497-1485

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Alexander Bernstein, M.D.NPI 1639199045

Title

Owner

Phone

(714) 495-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Clifford A. Bernstein, M.D.

  • Interventional Pain Medicine Physician
  • Huntington Beach, CA
  • NPI 1639199045
  Medicare reassignment NPD Authorized official
• Howard Dedes, M.D.

  • Interventional Pain Medicine Physician
  • Fountain Valley, CA
  • NPI 1679760094
  NPD (past)
• Carl Hess, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fullerton, CA
  • NPI 1154471118
  NPD (past)
• Naveed Mameghani, M.D.

  • Pain Medicine Physician
  • Costa Mesa, CA
  • NPI 1568826964
  NPD (past)
• Manuel Galicia Rosario, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Santa Ana, CA
  • NPI 1841203882
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1821267733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27298",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927997298",
            "telephone_number": "714-495-4050",
            "fax_number": "714-497-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 EAST 17TH STREET",
            "address_2": "SUITE #200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056852",
            "telephone_number": "714-495-4050",
            "fax_number": "714-497-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PAIN MANAGEMENT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-495-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G73289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639199045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clover Healthcare Inc (986 Pharmacy #8036)
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• Dailene Coad
• Trent Coalson
• Coast Medical Professionals Alliance, Ipa
• Coast@Coast Diagnostics, a Medical Corporation
• Coast2Coast DX
• Coastal Communities Hospital
• Coastal Emergency Physicians a Medical Corporation
• Coastal Heart, Inc (Coastal Heart Medical Group)

• Interventional Pain Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.