About The Doctor
Board Certified Pain Management Specialist
Board Certified Anesthesiology Specialist

Dr. Joshua Pal graduated Cum Laude and subsequently attended medical school with training at Portsmouth Naval Hospital. After recovering from spine surgery, he went on to complete his internship in Riverside. In 2008, Dr. Pal completed the requirements for licensure in medical acupuncture at Harvard Medical School.

Dr. Pal subsequently completed his residency in anesthesiology at Harvard Medical School and attended fellowship training at Stanford University. He has been on the Medical Staff at the University of California, San Diego (UCSD) since 2012 as an Affiliate and Attending. He is a Diplomate with double board-certification in Anesthesiology and Pain Medicine, with a focus on image-guided minimally invasive procedures for the diagnosis and treatment of pain.

Since entering practice more than 10 years ago, Dr. Pal has served as a Medical Director for outpatient ambulatory surgery centers and consulted in the development of pain therapeutics. He has given multiple scientific presentations on spinal cord stimulation, Stem Cell therapy, Platelet Rich Plasma (PRP) injections, and other Regenerative Medicine techniques, and was recently invited to present to the County of San Diego on these topics. Dr. Pal has won awards for his research in neurology and pain medicine, has published in scientific journals on non-opiate treatments of pain, and authored a textbook chapter on the advanced treatment of headaches.

Dr. Pal has extensive personal and professional interests in the minimally invasive treatment of sports injuries, as he pursues a variety of recreational athletics in his free time. He also volunteers as a ringside doctor for youth boxing in the South Bay, as well as providing pediatric anesthesia for surgical missions in developing countries, most recently with Smiles of Tecate.

About The Doctor
Board Certified Pain Management Specialist
Board Certified Anesthesiology Specialist

Dr. Joshua Pal graduated Cum Laude and subsequently attended medical school with training at Portsmouth Naval Hospital. After recovering from spine surgery, he went on to complete his internship in Riverside. In 2008, Dr. Pal completed the requirements for licensure in medical acupuncture at Harvard Medical School.

Dr. Pal subsequently completed his residency in anesthesiology at Harvard Medical School and attended fellowship training at Stanford University. He has been on the Medical Staff at the University of California, San Diego (UCSD) since 2012 as an Affiliate and Attending. He is a Diplomate with double board-certification in Anesthesiology and Pain Medicine, with a focus on image-guided minimally invasive procedures for the diagnosis and treatment of pain.

Since entering practice more than 10 years ago, Dr. Pal has served as a Medical Director for outpatient ambulatory surgery centers and consulted in the development of pain therapeutics. He has given multiple scientific presentations on spinal cord stimulation, Stem Cell therapy, Platelet Rich Plasma (PRP) injections, and other Regenerative Medicine techniques, and was recently invited to present to the County of San Diego on these topics. Dr. Pal has won awards for his research in neurology and pain medicine, has published in scientific journals on non-opiate treatments of pain, and authored a textbook chapter on the advanced treatment of headaches.

Dr. Pal has extensive personal and professional interests in the minimally invasive treatment of sports injuries, as he pursues a variety of recreational athletics in his free time. He also volunteers as a ringside doctor for youth boxing in the South Bay, as well as providing pediatric anesthesia for surgical missions in developing countries, most recently with Smiles of Tecate.

Patient Care Liaison: Jackie Ellis (760) 681-4330

PRACTICE SPECIALTIES

For many people, pain is a constant presence. It can make daily tasks difficult, or it can be entirely debilitating. The pain management doctors at Coastal Pain & Spinal Diagnostics specialize in managing and treating acute and chronic pain that has not responded to conventional treatments such as rest, medication, physical therapy, and surgery.  
Our patients are individuals who, along with their physicians, are seeking alternative, advanced treatment options for their unrelenting pain caused by injury, illness, or disease. Working together with you, we can help relieve or decrease your pain and assist your return to your daily activities.

Our specialties include:
– Chronic Pain Management
– Cancer Pain Management
– Steroid Injections and Nerve Blocks
– Interventional Procedures
– Spine Diagnostics
– Minimally Invasive Spine Procedures

We are committed to each of our patients – and the medical community – to be the best center for pain management in North County San Diego. Our accomplished team of physicians and specialists is devoted to providing you with the highest quality medical care. Treatment plans are designed to combat your pain – helping you return to the most functional and productive lifestyle possible.
Our collaborative, multidisciplinary approach reduces pain and restores function while focusing our care where it belongs – on you, the patient. When you need a pain management expert, turn to our experienced pain management doctors for quality, compassionate care.

About The Doctors

NATHAN A. MILLER, M.D.

Nathan A. Miller, M.D. is a pioneer in the field of pain medicine with over a decade of experience treating patients in the North County San Diego area. Dr. Nathan Miller is a well-respected, compassionate physician who strives to help his patients regain their lives. He is Chief of Pain Medicine at Scripps Memorial Hospital, Encinitas and is double-board certified in Anesthesiology and Interventional Pain Medicine.
Dr. Miller completed his pain fellowship at the prestigious University of Virginia pain program. He is a diplomat of the National Board of Medical Examiners and a Qualified Medical Examiner in the State of California.
Dr. Miller is at the forefront in the treatment and management of a wide variety of acute and chronic pain disorders. He is a strong proponent of a multi-disciplinary approach in pain management to improve outcome and increase quality of life. With his knowledge and the use of advanced medicine, he has been able to help many patients who had little hope of a functional life. Dr. Miller specializes in difficult cases where other pain doctors have given up. He continues to stay current in the field of pain management and studies peer-review medical journals and literature. He is noted by his colleagues for his strong commitment to ethical patient care and compassion. He practices evidenced-based pain management.
Dr. Nathan Miller is a native of southern California and dedicated to increase awareness in pain management. In his free time, he enjoys bicycling and spending time with his family.

ANKUSH K. BANSAL, M.D.

Dr. Ankush Bansal is a double board-certified Anesthesiologist and Interventional Pain Physician (through the American Board of Anesthesiology) that has devoted his career to understanding complex and difficult-to-treat painful conditions. He has helped numerous patients with incapacitating pain improve their quality of life and regain function. He is actively involved in ongoing clinical research and multiple national medical societies including American Society of Interventional Pain Physicians, American Society of Regional Anesthesia, and North American Neuromodulation Society. He has published articles in peer-reviewed medical journals including the Pain Medicine Journal.  He is continually striving to find new and effective ways to treat chronic pain.

Dr. Bansal completed his undergraduate training at the University of Michigan where he studied the impact of exercise, nutrition, and movement on the human body. He completed his Doctor of Medicine (MD) at the University of Michigan Medical School.  After enduring a chronic painful neck injury, he moved to Los Angeles to specialize in Anesthesiology and Chronic Interventional Pain Management through the University of California Los Angeles (UCLA) where he was mentored by some of the most renown figures in the field of Pain Medicine.

In the summer of 2018, he joined Coastal Pain Medical Group.  He is dedicated to their mission of bringing the highest quality and compassionate pain services to their patients.  He currently has medical and surgical privileges at Scripps Memorial Encinitas Hospital and Tri-City Medical Center. He has a particular interest in treating neck, back, trunk, pelvis, shoulder, hip, and knee pain through various medical, interventional, and regenerative techniques.  In his free time, he loves spending time with family, traveling, running, and enjoying the beauty of North County San Diego.

Board Certified Pain Management & Anesthesiology

ABOUT THE DOCTOR

Dr. Kumar is a board-certified and fellowship trained pain management consultant. He is an active staff physician at Scripps Memorial Hospital Encinitas, and local surgical centers.

He has an extensive educational background and the most up-to-date medical training in pain management. His interest in pain medicine stems from his research background in chronic pain and spinal physiology, and he utilizes this knowledge in his private practice. He is published in medical journals, is active in numerous medical societies, has lectured extensively on epidural analgesia and opioid pharmacology, and remains involved in medical student education.

Dr. Kumar is a long time local resident of San Diego, growing up and living most of his life in North County. He enjoys spending time with his wife and 5 year-old twins, Max and Chloe, his friends, and his dogs. He feels privileged to live in, and care for the patients of North County, San Diego.

Treatment Philosophy

A Focus on Diagnostics, with an emphasis on identifying and treating the underlying causes of pain. Individualized treatment plans for each patient.

A Multidisciplinary Approach utilizing pharmacological therapy, interventional procedures, physical therapy and exercise to facilitate improved function and quality of life.

– Efforts to avoid or Minimize Narcotic Dependency when possible. Educate on the limitations and efficacy of narcotic medications in various pain syndromes. Aim to stabilize doses in opioid tolerant patients. To taper or detox narcotic medications when medically necessary.

– We utilize the most Up-to-Date Pain Management techniques and interventional therapies available.

Non-Surgical Pain Solutions, with referral for orthopedic or neurosurgical consultation when medically indicated.

Pre-Med Education:
UCLA, Physiology, Summa Cum Laude, 1998
Graduate Education:
UCLA School of Public Health; Biostatistics, 2000

Medical School:
UCSD School of Medicine, 2004

Internship:
Internal Medicine, UMC, Las Vegas, 2005

Residency:
Anesthesiology, UCSD, 2008

Fellowship:
Interventional Pain Management, UCSD, 2009

Honors and Awards:
Dean Scholarship UCSD School of Medicine
Medical Honor Society

Board Certified:
Pain Management 2009
Anesthesiology 2008

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