Organization Active NPI

US Pain Clinic Inc

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1104488832
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
US PAIN CLINIC INC
Practice address
356 E Olive Ave Ste 112
Burbank, CA 91502-1260
Phone
(747) 229-9000
Fax
(818) 562-7171
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Ramesh Amin
Title
Manager
Phone
(661) 873-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

356 E Olive Ave Ste 112
Burbank, CA 91502-1260

Mailing address

356 E Olive Ave Ste 112
Burbank, CA 91502-1260
Phone (747) 229-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015002878 CA Part B Supplier - Clinic/Group Practice 8426389842 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

356 E Olive Ave
Ste 112
Burbank, CA 91502
Phone (747) 229-9000

1141 N Brand Blvd
#302
Glendale, CA 91202

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1104488832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E OLIVE AVE STE 112",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021260",
            "telephone_number": "747-229-9000",
            "fax_number": "818-562-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E OLIVE AVE STE 112",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021260",
            "telephone_number": "747-229-9000",
            "fax_number": "818-562-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-873-0005"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.