Active NPI
The Center for Pain and Supportive Care P L L C
- Pain Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 24521
- Legal business name
- THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C
- Practice address
- 4611 E. Shea Blvd. BLDG. 3
Suite 190
Phoenix, AZ 85028-4258 - Phone
- (480) 889-0180
- Fax
- (480) 889-0186
- NPI assigned
- Dec 12, 2007
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gobi Paramanandam
- Title
- Member Manager
- Phone
- (480) 889-0180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | 24521 | AZ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 24521 | AZ | |
| Pain Medicine Physician | 208VP0000X | 24521 | AZ | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 24521 | AZ |
Addresses
Primary practice location
4611 E. Shea Blvd. BLDG. 3
Suite 190
Phoenix, AZ 85028-4258
Mailing address
4611 E. Shea Blvd. BLDG. 3
Suite 170
Phoenix, AZ 85028-4258
Phone (480) 889-0180
Other practice location 1
9242 W Union Hills Dr Bldg D100-101
Peoria, AZ 85382-8218
Phone (480) 889-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518589 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1053719 | Center for Pain and Supportive Care, the | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
9242 W Union Hills Dr
Bldg D100101
Peoria, AZ 85382
Phone (480) 889-0180
4611 E Shea Blvd
Bldg 3
Phoenix, AZ 85028
Phone (480) 889-0180
4611 E Shea Blvd
Ste 170
Phoenix, AZ 85028
Phone (480) 889-0180
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Phoenix, AZ
- NPI 1568677706
-
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1104377506
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1033404553
-
- Medical Physician Assistant
- Phoenix, AZ
- NPI 1699745885
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mesa, AZ
- NPI 1144457110
-
- Family Nurse Practitioner
- Payson, AZ
- NPI 1386750511
-
- Pain Management Registered Nurse
- Phoenix, AZ
- NPI 1417761578
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1639057961
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1942274105
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1508398165
-
- Nurse Practitioner
- Phoenix, AZ
- NPI 1861629891
-
- Interventional Pain Medicine Physician
- Peoria, AZ
- NPI 1538364120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1104009265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 E. SHEA BLVD. BLDG. 3",
"address_2": "SUITE 170",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284258",
"telephone_number": "480-889-0180",
"fax_number": "480-889-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 E. SHEA BLVD. BLDG. 3",
"address_2": "SUITE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284258",
"telephone_number": "480-889-0180",
"fax_number": "480-889-0186"
}
],
"practiceLocations": [
{
"address_1": "9242 W Union Hills Dr Bldg D100-101",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853828218",
"country_code": "US",
"telephone_number": "480-889-0180",
"fax_number": "480-889-0186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "PARAMANANDAM",
"authorized_official_first_name": "GOBI",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "480-889-0180",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207LH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "AZ",
"license": "24521",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "24521",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "24521",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "24521",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518589",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- The Cataract Vision Institute LLC
- The Center for Advanced Dermatology, P.C.
- The Center for Orthopedic Research and Education
- The Center for Orthopedic Research and Education
- The Center for Orthopedic Research and Education
- The Center for Pain Relief, LLC
- The Children's Advocacy Center
- The Chiropractic Company, PLLC
- The Clubhouse Innovative Therapy Centers
- The Complex Trauma Research and Advocacy Institute (Attached2Achieve)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.