Organization Active NPI

Eastside Rehabilitation Medicine & Pain Clinic, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Paso, TX
National Provider Identifier
1891810792
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
EASTSIDE REHABILITATION MEDICINE & PAIN CLINIC, PA
Practice address
10412 Vista del Sol Dr Ste 1B
El Paso, TX 79925-7937
Phone
(915) 233-4026
Fax
(915) 233-4026
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Dr. Manouchehr Refaeian, MD
Title
Dr.
Phone
(915) 233-4026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

10412 Vista del Sol Dr Ste 1B
El Paso, TX 79925-7937

Mailing address

10412 Vista del Sol Dr Ste 1B
El Paso, TX 79925-7937
Phone (915) 233-4026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000381 TX Part B Supplier - Clinic/Group Practice 4082632369 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2000394Eastside Rehabilitation Medicine & Pain Clinic10412 Vista del Sol Suite 1B, El Paso, TX 79925Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

10412 Vista del Sol Dr
Ste 1B
El Paso, TX 79925
Phone (915) 591-3609

10412 Vista del Sol Dr
Ste 2B
El Paso, TX 79925
Phone (915) 591-3609

10412 Vista del Sol Dr
El Paso, TX 79925

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1891810792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 VISTA DEL SOL DR STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257937",
            "telephone_number": "915-233-4026",
            "fax_number": "915-233-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 VISTA DEL SOL DR STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257937",
            "telephone_number": "915-233-4026",
            "fax_number": "915-233-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE REHABILITATION MEDICINE & PAIN CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "REFAEIAN",
        "authorized_official_first_name": "MANOUCHEHR",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "915-233-4026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.