Advance Comprehensive Pain Care Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

C136636 Issued in CA

Legal business name

ADVANCE COMPREHENSIVE PAIN CARE INC

Practice address

23020 Atlantic Cir
Moreno Valley, CA 92553-5911

Phone

(951) 208-7700

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Munish LoombaNPI 1679579817

Title

Chief of Clinic

Phone

(951) 208-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBFFAD

Practitioners 1

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

• Munish Loomba, M.D.

  • Pain Medicine Physician
  • Moreno Valley, CA
  • NPI 1679579817
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1114383080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23020 ATLANTIC CIR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23020 ATLANTIC CIR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535911",
            "telephone_number": "951-208-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10807 Laurel St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300633",
            "country_code": "US",
            "telephone_number": "915-316-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCE COMPREHENSIVE PAIN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "LOOMBA",
        "authorized_official_first_name": "MUNISH",
        "authorized_official_title_or_position": "CHIEF OF CLINIC",
        "authorized_official_telephone_number": "951-208-7700"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C136636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler R Adams, DO
• Rosemary Addai
• Olabisi A Adebowale, NA
• Mayowa Adesina, DNP, PMHNP
• Adopt a Homeless Person Community Services
• Advance Medical Supply
• Adventist Health Facility
• Adwen P. Yap DDS, Inc
• Sana Afroz, MD
• Cesar Kelvin Aguilar Martinez, MD

• Pain Medicine (Anesthesiology) Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.