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
- 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
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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Newport Beach, CA
- NPI 1174615207
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.