San Diego Comprehensive Pain Management Center, Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC

Practice address

3703 Camino del Rio S
Ste 210
San Diego, CA 92108-4031

Phone

(619) 640-5106

Fax

(619) 640-5550

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David James Smith, MD

Title

President

Phone

(619) 640-5555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1225358609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S",
            "address_2": "STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084031",
            "telephone_number": "619-640-5555",
            "fax_number": "619-640-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S",
            "address_2": "STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084031",
            "telephone_number": "619-640-5106",
            "fax_number": "619-640-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 W Main St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922432211",
            "country_code": "US",
            "telephone_number": "760-482-5931",
            "fax_number": "760-482-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-640-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G66777",
            "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": []
}

• San Diego Co. Superintendent of Schools
• San Diego Coastal Caregivers,LLC
• San Diego Community Pharmacy
• San Diego Compounding Pharmacy
• San Diego Compounding Pharmacy a Prof Corp
• San Diego Comprehensive Pain Management Inc
• San Diego Comprehensive Pain Management Inc
• San Diego County
• San Diego County Case Management
• San Diego County Dental Foundation

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.