PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER
NPI 1245393602
Clinic/Center - Ambulatory Surgical in Huntington Beach, CA
NPI Status: Active since December 18, 2006
Contact Information
17822 BEACH BLVD STE 101
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 847-3666
Fax: (714) 847-7171
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1073514
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-10-2027
About PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER
This page provides the complete NPI Profile along with additional information for Pacific Coast Spine Institute And Pain Center, a provider established in Huntington Beach, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245393602 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X with license number AAAHC 77516 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pacific Coast Spine Institute And Pain Center. The authorized official of this NPI record is Dr. Maryam Rahbar (Director)
- NPI
- 1245393602
- Provider Legal Name
- MARYAM RAHBAR, MD, INC.
- Other Organization Name
- PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17822 BEACH BLVD STE 101 HUNTINGTON BEACH, CA 92647
- Location Phone
- (714) 847-3666
- Location Fax
- (714) 847-7171
- Mailing Address
- PO BOX 11869 NEWPORT BEACH, CA 92658
- Mailing Phone
- (714) 847-3666
- Mailing Fax
- (714) 847-7171
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2006
- Last Update Date
- 10-16-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- AAAHC 77516
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center | A2677838 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05D1073514 | OTHER (01) | CA | CLIA |
| A267838 | OTHER (01) | CA | CITY BUSINESS LICENSE |
| 77516 | OTHER (01) | CA | AAAHC ACCREDITATION |
| FNP36985 | OTHER (01) | CA | FICTITIOUS NAME PERMIT |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of substance into middle or upper spine canal using imaging guidance
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 225 times for 92 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 121 times for 59 patientsThis procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
This service was performed 51 times for 34 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 26 times for 15 patientsThis procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
This service was performed 83 times for 39 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1073514
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 11, 2025
- Certificate Expiration Date
- September 10, 2027
- Laboratory Director
- MARYAM RAHBAR MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Coast Spine Institute And Pain Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1245393602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HUNTINGTON BEACH, CA 92647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245393602, enumerated as an "organization" on December 18, 2006.
The provider is located at 17822 BEACH BLVD STE 101 HUNTINGTON BEACH, CA 92647 and the phone number is (714) 847-3666.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
