Unknown Individual – Interventional Pain Medicine Physician, NPI 1104857846
Interventional Pain Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2050, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States
SANTA ANA, CA 927057827
Phone: (714) 543-2554
Fax: (714) 835-1383
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92705)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | CA | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 29 | 21 |
| INTERVENTIONAL PAIN MANAGEMENT | CA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 762 | 102 |
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