MARYAM RAHBAR MD INC. NPI 1245393602

NPI Information

NPI: 1245393602
Provider Name: MARYAM RAHBAR, MD, INC.
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER
CLIA Number: 05D1073514
Address: 17822 BEACH BLVD STE 101
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 847-3666

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NPI Details

MARYAM RAHBAR, MD, INC. is an ambulatory surgical clinic center in Huntington Beach, CA. MARYAM RAHBAR, MD, INC. NPI is 1245393602. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Coast Spine Institute And Pain Center.

The provider's business location address is:

17822 BEACH BLVD STE 101
HUNTINGTON BEACH, CA
ZIP 92647-179
Phone: (714) 847-3666
Fax: (714) 847-7171

The provider's authorized official is Maryam Rahbar .
The authorized official title is Director and has the following contact phone number (714) 847-3666.

The CLIA number assigned to this NPI record is 05D1073514 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/16/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	A2677838	CALIFORNIA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	AAAHC 77516	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05D1073514	OTHER	CALIFORNIA	CLIA
2	A267838	OTHER	CALIFORNIA	CITY BUSINESS LICENSE
3	77516	OTHER	CALIFORNIA	AAAHC ACCREDITATION
4	FNP36985	OTHER	CALIFORNIA	FICTITIOUS NAME PERMIT

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: 11/21/2025

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