Kinnaird Anesthesia and Pain, a Professional Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

KINNAIRD ANESTHESIA AND PAIN, A PROFESSIONAL CORPORATION

Doing business as

Ocean Pain & Wellness

Practice address

4060 Fourth Ave Ste 510
San Diego, CA 92103-2121

Phone

(619) 369-8115

Fax

(619) 326-3958

NPI assigned

Jan 8, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry Chang KinnairdNPI 1487919528

Title

Ceo/Founder

Phone

(619) 369-8115

Specialties & licenses 3

Addresses

Other names 1

• Ocean Pain & Wellness Doing business as

Locations

Practitioners 1

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.

• Sherry Kinnaird, M.D.

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1487919528
  Authorized official Same address or phone

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1205424843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ROSECRANS ST STE 114-531",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103231",
            "telephone_number": "619-369-8115",
            "fax_number": "619-215-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 510",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-369-8115",
            "fax_number": "619-326-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Rosecrans St Ste 114-531",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103231",
            "country_code": "US",
            "telephone_number": "312-285-8621",
            "fax_number": "478-202-9416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINNAIRD ANESTHESIA AND PAIN, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KINNAIRD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "CHANG",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "619-369-8115"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Pain & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Kingston, LCSW
• Jessica Mary Kingston, M.D.
• Revere Philip Kinkel, M.D.
• Andrea Kinley, CADC II
• Krystal Kinley
• Patrick Burke Kinnaird, M.D.
• Sherry Kinnaird, M.D.
• Mikaela Kinnear Elson, PH.D.
• Alyssa B Kinnear, D.P.T.
• Robin Lynn Siegrist Kinnear, PHARM.D.

• Interventional Pain Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.