PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION
NPI 1578627022
Pain Medicine - Interventional Pain Medicine in Irvine, CA

Active since December 20, 2006CLIA 05D1091864 · Waiver
113 WATERWORKS WAY, SUITE 345, IRVINE, CA 92618(949) 872-2400(949) 872-2401 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Care Providers A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION (NPI 1578627022) is a healthcare organization registered as an interventional pain medicine in Irvine, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Amir Bahram Rafizad, President, as its authorized official.

NPPES Registry Identity

NPI1578627022
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION
Location Address113 WATERWORKS WAY, SUITE 345Irvine, CA 92618-3167
Mailing AddressPo Box 54788Irvine, CA 92619-4788 · (949) 872-2400 · Fax (949) 872-2401
Fax(949) 872-2401
Organization SubpartNo
Authorized OfficialAmir Bahram RafizadPresident · (949) 872-2400
Enumeration DateDecember 20, 2006
Last NPPES UpdateDecember 20, 2016
NPI 1578627022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in CA · A81189
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A81189 (CA)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License A81189 (CA)
113 WATERWORKS WAY, Irvine, CA 92618

Other Identifiers 2

OtherW18108CA · Medicare
OtherDC3554CA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1091864

Pain Care Providers · Irvine, CA
Active · expires Nov 11, 2026
CLIA Number05D1091864
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorReza Mahrou MD
Laboratory Phone(949) 872-2400
Laboratory LocationPain Care Providers113 Waterworks Way Ste 345, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
113 WATERWORKS WAY, 355
IRVINE, CA 92618
Dentist (General Practice)
113 WATERWORKS WAY, SUITE 355
IRVINE, CA 92618
Anesthesiology (Pain Medicine)
113 WATERWORKS WAY, SUITE 345
IRVINE, CA 92618
Chiropractor (Rehabilitation)
113 WATERWORKS WAY, #115
IRVINE, CA 92618
Physical Therapist
113 WATERWORKS WAY, #230
IRVINE, CA 92618
Dermatology
113 WATERWORKS WAY, SUITE 235
IRVINE, CA 92618
Chiropractor
113 WATERWORKS WAY, 115
IRVINE, CA 92618
Dentist (General Practice)
113 WATERWORKS WAY, 310
IRVINE, CA 92618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Care Providers A Professional Medical Corporation's NPI number?

The NPI number for Pain Care Providers A Professional Medical Corporation is 1578627022. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Pain Care Providers A Professional Medical Corporation located?

Pain Care Providers A Professional Medical Corporation is located at 113 Waterworks Way Suite 345, Irvine, CA 92618. The listed phone number is (949) 872-2400.

What is Pain Care Providers A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Pain Care Providers A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1091864) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Care Providers A Professional Medical Corporation was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.