MARYAM RAHBAR, MD, INC. (NPI# 1245393602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245393602 |
| Entity Type | Organization |
| Organization Name | MARYAM RAHBAR, MD, INC. |
| Other Organization Name | PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER |
| Practice Address |
17822 Beach Blvd Ste 101 Huntington Beach CA 92647-7179 |
| Mailing Address |
Po Box 11869 Newport Beach CA 92658-5044 |
| Practice Telephone | 7148473666 |
| Practice Fax Number | 7148477171 |
| Mailing Telephone | 7148473666 |
| Mailing Fax Number | 7148477171 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | DR. MARYAM RAHBAR (DIRECTOR) |
| Authorized Official Telephone | 7148473666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
A2677838 | CA | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AAAHC 77516 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FICTITIOUS NAME PERMIT | FNP36985 | 01 |
| CA | AAAHC ACCREDITATION | 77516 | 01 |
| CA | CLIA | 05D1073514 | 01 |
| CA | CITY BUSINESS LICENSE | A267838 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Coast Spine Institute and Pain Center | Doing Business As Name - Organization |
| Street Address |
17822 BEACH BLVD STE 101 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-7179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528572815 | Sun Surgery Center Huntington LLC | Clinic/Center | 7801 Center Ave Ste 102, Huntington Beach, CA 92647-9112 | 2017-11-22 |
| 1952813008 | Pacific Surgical LLC. | Clinic/Center | 17672 Beach Blvd Ste B, Huntington Beach, CA 92647-6836 | 2017-10-30 |
| 1023538220 | Coast Surgery Center Inc. | Clinic/Center | 18800 Delaware St Ste 550, Huntington Beach, CA 92648-6085 | 2017-06-20 |
| 1700322567 | Telegraph Medical Group Inc. PC | Clinic/Center | 18080 Beach Blvd Ste 101, Huntington Beach, CA 92648-1343 | 2017-01-17 |
| 1073801759 | Allied Care Associates, LLC | Clinic/Center | 5267 Warner Ave, 341, Huntington Beach, CA 92649-4079 | 2011-07-15 |
| 1063722627 | The Advanced Medical Institute | Clinic/Center | 19671 Beach Blvd., Suite 321, Huntington Beach, CA 92648-5930 | 2010-10-18 |
| 1205076593 | Healthcare Partners Asc-hb, LLC | Clinic/Center | 7677 Center Street, Suite 104, Huntington Beach, CA 92647-3030 | 2009-02-25 |
| 1194922385 | Huntington Pointe Surgery Center | Clinic/Center | 15039 Goldenwest St, Huntington Beach, CA 92647-2710 | 2007-06-29 |
| 1861614042 | Wellness Surgery Center | Clinic/Center | 17672 Beach Blvd, Suite A, Huntington Beach, CA 92647 | 2007-05-03 |
| 1932277886 | Huntington Surgery Center, Inc | Clinic/Center | 7801 Center Ave, Suite 102, Huntington Beach, CA 92647-9110 | 2006-11-30 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on MARYAM RAHBAR, MD, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.