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

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1073514
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-10-2025

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 2 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
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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)
1261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARYAM RAHBAR

Authorized Official Title
DIRECTOR
Authorized Official Phone
(714) 847-3666

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
05D1073514OTHER (01)CACLIA
A267838OTHER (01)CACITY BUSINESS LICENSE
77516OTHER (01)CAAAAHC ACCREDITATION
FNP36985OTHER (01)CAFICTITIOUS 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

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 263 times for 93 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This 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 181 times for 75 patients

Injection of substance into middle or upper spine canal using imaging guidance

This 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 42 times for 27 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This 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 44 times for 17 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This 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 99 times for 43 patients

CLIA 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, 2023
Certificate Expiration Date
September 10, 2025
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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245393602
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228569660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 9 + 6 + 6 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245393602 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

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.