NPIMap

Organization Active NPI

Advanced Pain Medical Group, Inc

  • Pain Clinic/Center
  • Culver City, CA
National Provider Identifier
1043080187
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ADVANCED PAIN MEDICAL GROUP, INC
Practice address
4323 Sepulveda Blvd
Culver City, CA 90230-4715
Phone
(818) 348-7246
Fax
(818) 348-7248
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By 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 Jan 8, 2024

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

Authorized official

Name
Jacqueline Sarian
Title
C.O.O
Phone
(818) 348-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4323 Sepulveda Blvd
Culver City, CA 90230-4715

Mailing address

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

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

4323 Sepulveda Blvd
Culver City, CA 90230
Phone (213) 858-1418

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1043080187",
    "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",
            "fax_number": "818-348-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304715",
            "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": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SARIAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "818-348-7246"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.