Unknown Individual – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1750325643
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
218, Avenida la Cuesta, San Clemente, Orange County, California, 92672, United States
SAN CLEMENTE, CA 926722139
Phone: (949) 444-1886
Fax: (888) 873-6807
Type: Mailing
Indiana Avenue, Riverside, Indianapolis, Marion, Indiana, 46202-5816, United States
SUITE 145
RIVERSIDE, CA 925064290
Phone: (951) 248-9240
Fax: (951) 248-9263
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $351.
Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Electronic Waveform Lab, Inc. ($351).
Total Amount
$351
General + Research + Ownership
Payments
22
Total payment records
General Amount
$351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Electronic Waveform Lab, Inc. | $351 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 127 | 46 | $0 |
Insurance plans in this area (ZIP 92672)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 32 | 19 |
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