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JOHN FRANCIS PETRAGLIA M.D. NPI 1417933938


NPI Information

NPI: 1417933938
Provider Name: JOHN FRANCIS PETRAGLIA, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
1601 DOVE ST
SUITE 170
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 474-7246
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John Francis Petraglia, M.D. is an interventional pain medicine pain medicine in Newport Beach, CA. The provider is 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. John Francis Petraglia, M.D. NPI is 1417933938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 DOVE ST
SUITE 170
NEWPORT BEACH, CA
ZIP 92660-433
Phone: (949) 474-7246
Fax: (949) 474-7247

The enumeration date for this NPI number is 12/16/2005 and was last updated on 4/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyG68169CALIFORNIANo
2208VP0014XPain MedicineInterventional Pain MedicineG68169CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WG68169BMEDICARE PINCALIFORNIA
2P00757741MEDICARE PINCALIFORNIA
3E63851MEDICARE UPINCALIFORNIA
4WG68169AMEDICARE PINCALIFORNIA
500G681690MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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