Organization Active NPI

Sorrento Valley Pain Relief Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
National Provider Identifier
1144520586
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SORRENTO VALLEY PAIN RELIEF CENTER
Practice address
5955 Mira Mesa Blvd
Ste D
San Diego, CA 92121-4304
Phone
(858) 404-5944
Fax
(858) 404-5934
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Mr. Ameet Bhatia
Title
Office Manager
Phone
(858) 404-5944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X A112159 CA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

5955 Mira Mesa Blvd
Ste D
San Diego, CA 92121-4304

Mailing address

5955 Mira Mesa Blvd
Ste D
San Diego, CA 92121-4304
Phone (858) 404-5944

National Provider Directory

National Provider Directory

Locations

5955 Mira Mesa Blvd
Ste D
San Diego, CA 92121
Phone (858) 404-4944

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1144520586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 MIRA MESA BLVD",
            "address_2": "STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214304",
            "telephone_number": "858-404-5944",
            "fax_number": "858-404-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 MIRA MESA BLVD",
            "address_2": "STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214304",
            "telephone_number": "858-404-5944",
            "fax_number": "858-404-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORRENTO VALLEY PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "AMEET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-404-5944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A112159",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.