Active NPI
Interventional Pain Medical Group
- Interventional Pain Medicine Physician
- Newport Beach, CA
National Provider Identifier
1932207248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- INTERVENTIONAL PAIN MEDICAL GROUP
- Practice address
- 1601 Dove St
Suite 170
Newport Beach, CA 92660-2433 - Phone
- (562) 407-2080
- Fax
- (562) 407-2082
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Francis Petraglia, M.D.
- Title
- President
- Phone
- (562) 407-2080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1601 Dove St
Suite 170
Newport Beach, CA 92660-2433
Mailing address
PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Newport Beach, CA
- NPI 1174615207
-
- Interventional Pain Medicine Physician
- Newport Beach, CA
- NPI 1417933938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1932207248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4259",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034259",
"telephone_number": "562-407-2080",
"fax_number": "562-407-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 DOVE ST",
"address_2": "SUITE 170",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602433",
"telephone_number": "562-407-2080",
"fax_number": "562-407-2082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PAIN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "PETRAGLIA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-407-2080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Integrated Dermatology and Dermatopathology, Inc.
- Integrated Therapeutic Services
- Integrative Allergy and Immunology of Southern California, Inc
- Integrative Counseling Therapy
- Intensive Primary Care Ca2 PC
- Christopher Iorizzo
- Tze Chow Ip, M.D.
- Tze Yung Ip, MD
- Ira Vidor, M.D., a Professional Corporation
- Andrew S Iraniha, M.D.,F.A.C.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.