Organization Active NPI

GPW Interventional Pain Management, a Professional Corporation

  • Interventional Pain Medicine Physician
  • West Covina, CA
National Provider Identifier
1124498274
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GPW INTERVENTIONAL PAIN MANAGEMENT, A PROFESSIONAL CORPORATION
Practice address
1250 S Sunset Ave Ste 206
West Covina, CA 91790-3962
Phone
(877) 331-3878
Fax
(888) 578-6188
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Grant P Williams, MD
Title
President
Phone
(877) 331-3878

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1250 S Sunset Ave Ste 206
West Covina, CA 91790-3962

Mailing address

2275 Huntington Dr
Suite 371
San Marino, CA 91108-2640
Phone (877) 331-3878

National Provider Directory

National Provider Directory

Locations

1224 E Avenue S
Ste B
Palmdale, CA 93550
Phone (626) 446-1221

1164 Monroe St
Ste 8
Salinas, CA 93906
Phone (877) 331-3878

1125 E 16th St
Upland, CA 91784
Phone (562) 746-7077

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1124498274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HUNTINGTON DR",
            "address_2": "SUITE 371",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "877-331-3878",
            "fax_number": "888-578-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903962",
            "telephone_number": "877-331-3878",
            "fax_number": "888-578-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPW INTERVENTIONAL PAIN MANAGEMENT, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-331-3878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.