Individual provider Active NPI

Pooja R Chopra, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport Beach, CA
National Provider Identifier
1881005817
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A179659 Issued in CA
Practice address
22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone
(949) 722-7038
Fax
(949) 630-4900
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 49843 KY
Physical Medicine & Rehabilitation Physician 208100000X TP293 KY
Physical Medicine & Rehabilitation Physician 208100000X 4301502094 MI
Rehabilitation Practitioner 225400000X 4301502094 MI
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A179659 CA Primary

Addresses

Primary practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Mailing address

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

Other practice location 1

101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 550-2030

Other practice location 2

1210 Ky Highway 36 E
Cynthiana, KY 41031-7490
Phone (859) 235-3724

Other practice location 3

217 S 3rd St
Danville, KY 40422-1823
Phone (859) 239-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823002355 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9638471824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Spine and Pain CentersGroup PAC ID 6507263688, 5 clinicians

Practice addresses (Care Compare)

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (949) 414-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179659CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
4301502094MIMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc Physical Medicine & Rehabilitation CurrentSince Feb 1, 2023 Accepting new patients
Sports Medicine and Orthopaedic Institute CurrentSince Mar 1, 2023 Accepting new patients
Evergreen Spine and Pain Centers Pain Medicine CurrentSince Jun 16, 2024 Accepting new patients

Locations (25 of 27)

1130 W La Palma Ave
Anaheim, CA 92801
Phone (714) 772-7480

5151 Knudsen Dr
Bakersfield, CA 93308
Phone (661) 325-9900

1609 Trousdale Dr
Burlingame, CA 94010
Phone (530) 400-3060

10961 Westminster Ave
Garden Grove, CA 92843
Phone (714) 636-1744

12000 Mount Vernon Ave
Grand Terrace, CA 92313
Phone 20130889955174

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

12200 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 947-8691

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

651 N Main St
Pomona, CA 91768
Phone (909) 227-0750

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

1155 E Springfield Ave
Reedley, CA 93654
Phone (559) 638-9225

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

3657 Van Buren Blvd
Riverside, CA 92503
Phone (909) 238-7966

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

2150 N Waterman Ave
Ste 303
San Bernardino, CA 92404
Phone (909) 383-9385

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

12490 Business Center Dr
#100
Victorville, CA 92395
Phone (605) 528-5857

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

12490 Business Center Dr
Ste 100
Victorville, CA 92395
Phone (760) 522-8585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pooja.chopra.p1@direct.newportortho.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1881005817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-7038",
            "fax_number": "949-630-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CORPORATE PLAZA DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607985",
            "telephone_number": "949-722-7038",
            "fax_number": "949-630-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-550-2030",
            "fax_number": "833-963-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Ky Highway 36 E",
            "address_purpose": "LOCATION",
            "city": "Cynthiana",
            "state": "KY",
            "postal_code": "410317490",
            "country_code": "US",
            "telephone_number": "859-235-3724",
            "fax_number": "859-234-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221823",
            "country_code": "US",
            "telephone_number": "859-239-2020",
            "fax_number": "859-236-6471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "POOJA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "49843",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "TP293",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301502094",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MI",
            "license": "4301502094",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A179659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.