Organization Active NPI

Static Health and Wellness Inc a Professional Corporation

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1194474288
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
STATIC HEALTH AND WELLNESS INC A PROFESSIONAL CORPORATION
Practice address
8300 W 3Rd St
Los Angeles, CA 90048-4311
Phone
(323) 653-3344
Fax
(323) 653-5853
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Savita Kanji
Title
Clinic Manager
Phone
(805) 890-8001

Specialties & licenses 1

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

Addresses

Primary practice location

8300 W 3Rd St
Los Angeles, CA 90048-4311

Mailing address

8300 W 3Rd St
Los Angeles, CA 90048-4311
Phone (323) 653-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220524003267 CA Part B Supplier - Clinic/Group Practice 9032596408 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA
O20240129002204 CA DME Supplier - Multi-Specialty - Physician 9032596408 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8300 W 3rd St
Los Angeles, CA 90048
Phone (323) 653-3344

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1194474288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484311",
            "telephone_number": "323-653-3344",
            "fax_number": "323-653-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484311",
            "telephone_number": "323-653-3344",
            "fax_number": "323-653-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATIC HEALTH AND WELLNESS INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "KANJI",
        "authorized_official_first_name": "SAVITA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "805-890-8001"
    },
    "taxonomies": [
        {
            "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 Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.