{"npi":"1770945883","type":"NPI-2","status":"active","name":{"display":"Westside Pain Management, Inc.","other":[],"organization_name":"WESTSIDE PAIN MANAGEMENT, INC.","authorised_official":"Cheryl Goldbaum"},"specialty":{"primary_taxonomy":"207LP2900X","primary_taxonomy_description":"Anesthesiology, Pain Medicine","slug":"anesthesiology-pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":true,"state":"CA","license":"A136449"}]},"addresses":[{"purpose":"LOCATION","street_1":"17822 BEACH BLVD STE 300","city":"HUNTINGTON BEACH","state":"CA","postal_code":"926477172","country_code":"US","phone":"7143751122","fax":"9498638581"},{"purpose":"MAILING","street_1":"17822 BEACH BLVD STE 300","city":"HUNTINGTON BEACH","state":"CA","postal_code":"926477172","country_code":"US","phone":"7143751122","fax":"9498638581"}],"license":{"state":"CA","number":"A136449"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"199DNNHA","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160707000891","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"5496047722"}]},"enumeration_date":"2016-03-28","last_updated":"2025-12-01","_meta":{"source":"NPPES","snapshot_date":"2025-12-01","doc_url":"https://findmynpi.com/api"}}