NPIMap

Organization Active NPI

Advanced Pain Medical Group, Inc.

  • Pain Medicine Physician
  • Palmdale, CA
National Provider Identifier
1013478130
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ADVANCED PAIN MEDICAL GROUP, INC.
Practice address
655 W Avenue Q Ste B
Palmdale, CA 93551-3894
Phone
(818) 348-7246
Fax
(818) 348-7248
NPI assigned
Mar 29, 2019
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PAIN MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jackie Sarian
Title
Practice Administrator
Phone
(818) 348-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

655 W Avenue Q Ste B
Palmdale, CA 93551-3894

Mailing address

7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone (818) 348-7246

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2151765Advanced Pain Medical Group Inc655 West Avenue Q, Palmdale, CA 93551Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain20 organizations share this tax ID, including this one
Part of
Advanced Pain

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

655 W Avenue Q
Ste B
Palmdale, CA 93551
Phone (661) 228-0680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1013478130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W AVENUE Q STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513894",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PAIN MEDICAL GROUP, INC",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SARIAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-348-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.