Comprehensive Pain ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COMPREHENSIVE PAIN ASC, LLC

Practice address

16466 Bernardo Center Dr
Suite 177
San Diego, CA 92128-2508

Phone

(858) 453-7700

NPI assigned

May 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher JG Chisholm, MDNPI 1538173950

Title

President

Phone

(858) 453-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Comprehensive Pain ASC LLCCCN 05C0002172

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Christopher John Gordon Chisholm, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Poway, CA
  • NPI 1538173950
  Medicare reassignment NPD Authorized official
• Zachary Carl Cohen, M.D.

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1598021982
  Medicare reassignment
• Craig Lee Cooper, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
  • NPI 1679544845
  Medicare reassignment
• Seth L. Griffin, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
  • NPI 1477793859
  Medicare reassignment
• Rathinaraj Gunaselvam, CRNA

  • Certified Registered Nurse Anesthetist
  • Loma Linda, CA
  • NPI 1609222561
  Medicare reassignment
• Mastaneh Nikravesh, MD

  • Pain Medicine Physician
  • La Mesa, CA
  • NPI 1508429143
  Medicare reassignment
• Linette Flete, CRNA

  • Certified Registered Nurse Anesthetist
  • Brooklyn, NY
  • NPI 1912095662

  CA

  Medicare reassignment
• Megan Marie Schmidt, CRNA

  • Certified Registered Nurse Anesthetist
  • Washington, DC
  • NPI 1710301593

  CA

  Medicare reassignment
• Tiffany Ann Uranga, CRNA

  • Certified Registered Nurse Anesthetist
  • Fpo Ap, FL
  • NPI 1659531796

  CA

  Medicare reassignment

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

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431734400000",
    "number": "1124406632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501724",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921501724",
            "telephone_number": "858-453-7700",
            "fax_number": "858-798-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16466 BERNARDO CENTER DR",
            "address_2": "SUITE 177",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282508",
            "telephone_number": "858-453-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-16",
        "last_updated": "2015-05-16",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-453-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comphibgru Three
• Complete Care Ipa Inc
• Complete Caregiver, Inc
• Comprehensive Educational Services (Aces)
• Comprehensive Medical Reporting Services (Advantage Med Legal)
• Comprehensive Psychiatric Solutions, P.C.
• Comprehensive Therapy Approach, Inc. (North Park Counseling Services)
• Comprehensive Therapy Services, Inc.
• Compress DME, LLC
• Jasmine Compton

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; 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.

Verify at the official NPI Registry.