NPIMap

Organization Active NPI

S&a Pain Management Corporation

  • Pain Clinic/Center
  • Encino, CA
National Provider Identifier
1134461890
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A85939 Issued in CA
Legal business name
S&A PAIN MANAGEMENT CORPORATION
Practice address
16101 Ventura Blvd
Suite# 240
Encino, CA 91436-2500
Phone
(818) 366-0474
Fax
(818) 474-7530
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Anuj Gupta, M.D.
Title
Owner
Phone
(760) 285-8866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X A85939 CA Primary
Anesthesiologist AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367H00000X

Addresses

Primary practice location

16101 Ventura Blvd
Suite# 240
Encino, CA 91436-2500

Mailing address

PO Box 8000
Northridge, CA 91327-8000
Phone (818) 366-0474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1134461890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913278000",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE# 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&A PAIN MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-285-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A85939",
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.