Individual provider Active NPI

Maryam Rahbar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Huntington Beach, CA
National Provider Identifier
1992868368
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A80577 Issued in CA
Practice address
17822 Beach Blvd Ste 152
Huntington Beach, CA 92647-7114
Phone
(714) 847-3666
Fax
(714) 847-7171
NPI assigned
Dec 18, 2006
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A80577 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A80577 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 152
Huntington Beach, CA 92647-7114

Mailing address

PO Box 11869
Newport Beach, CA 92658-5044
Phone (714) 863-8567

Other identifiers 2

IdentifierTypeStateIssuer
0-463-8987OtherCAECFMG
A80577OtherCASTATE LICENSE

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
I20040204001084 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4183517006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17742 Beach Blvd
Suite 244
Huntington Beach, CA 92647-6835
Phone (714) 847-3666

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryam Rahbar, MD, Inc. CurrentSince Oct 23, 2007 Accepting new patients
M Rahbar MD Inc Pain Medicine CurrentSince Jul 5, 2009 Accepting new patients
Mission Hospital Regional Medical Center Interventional Pain Medicine Past Accepting new patients
Radiology Unlimited, PA Past Accepting new patients

Locations

17742 Beach Blvd
Ste 244
Huntington Beach, CA 92647
Phone (714) 847-3666

17822 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 842-5337

17822 Beach Blvd
Ste 152
Huntington Beach, CA 92647
Phone (714) 841-7705

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFFAA/Endpoint/GDFFAA

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1992868368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11869",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585044",
            "telephone_number": "714-863-8567",
            "fax_number": "714-847-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 152",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477114",
            "telephone_number": "714-847-3666",
            "fax_number": "714-847-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAR",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A80577",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A80577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "0-463-8987",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A80577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.