Organization Active NPI

Painmd Medical Associates Inc

  • Pain Medicine Physician
  • San Clemente, CA
National Provider Identifier
1952437261
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
029370 Issued in CA
Legal business name
PAINMD MEDICAL ASSOCIATES INC
Practice address
665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859
Phone
(949) 364-8959
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Andres Betts, M.D.
Title
Owner President
Phone
(949) 364-8959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 029370 CA Primary

Addresses

Primary practice location

665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859

Mailing address

665 Camino de Los Mares
Suite 202
San Clemente, CA 92673-2859
Phone (949) 364-8959

National Provider Directory

National Provider Directory

Locations

665 Camino de los Mares
Ste 202
San Clemente, CA 92673
Phone (949) 276-8050

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1952437261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES",
            "address_2": "SUITE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732859",
            "telephone_number": "949-364-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES",
            "address_2": "SUITE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732859",
            "telephone_number": "949-364-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINMD MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "949-364-8959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "029370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.