NPIMap

Organization Active NPI

Spanish Hills Interventional Pain Specialists Inc a Medical Corp

  • Interventional Pain Medicine Physician
  • Camarillo, CA
National Provider Identifier
1205195732
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP
Practice address
4542 Las Posas Rd Ste E
Camarillo, CA 93010-2500
Phone
(805) 484-8558
Fax
(805) 484-3099
NPI assigned
May 3, 2012
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Ann Cox
Title
Administrator
Phone
(805) 484-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4542 Las Posas Rd Ste E
Camarillo, CA 93010-2500

Mailing address

4542 Las Posas Rd Ste E
Camarillo, CA 93010-2500
Phone (805) 585-5201

Other practice location 1

1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone (805) 484-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120810000354 CA Part B Supplier - Clinic/Group Practice 9830345651 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Camarillo, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1088479Spanish Hills Interventional Pain Specialist,1100 Paseo Camarillo, Camarillo, CA 93010Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

Locations

261 Mobil Ave
#A
Camarillo, CA 93010
Phone (805) 597-8370

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1205195732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 LAS POSAS RD STE E",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102500",
            "telephone_number": "805-585-5201",
            "fax_number": "805-597-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 LAS POSAS RD STE E",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102500",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Paseo Camarillo",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930106073",
            "country_code": "US",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-484-8558"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.