NPIMap

Organization Active NPI

Mission Hills Pain Management Medical Corporation

  • Pain Clinic/Center
  • Northridge, CA
National Provider Identifier
1235374372
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
0002402666-0001-2 Issued in CA
Legal business name
MISSION HILLS PAIN MANAGEMENT MEDICAL CORPORATION
Practice address
19871 Nordhoff St
Northridge, CA 91324-3331
Phone
(818) 359-8833
Fax
(877) 727-9225
NPI assigned
Dec 3, 2008
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Kiumars Arfai, MDNPI 1407804370
Title
Ceo
Phone
(818) 359-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 0002402666-0001-2 CA Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

19871 Nordhoff St
Northridge, CA 91324-3331

Mailing address

PO Box 515804
Los Angeles, CA 90051-3104
Phone (909) 493-3800

Other practice location 1

3299 Old Conejo Rd Ste 6
Newbury Park, CA 91320-2152
Phone (805) 454-9088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000546 CA Part B Supplier - Clinic/Group Practice 4284783853 Receives reassigned benefits from 6 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1235374372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513104",
            "telephone_number": "909-493-3800",
            "fax_number": "909-204-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243331",
            "telephone_number": "818-359-8833",
            "fax_number": "877-727-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3299 Old Conejo Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913202152",
            "country_code": "US",
            "telephone_number": "805-454-9088",
            "fax_number": "877-727-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION HILLS PAIN MANAGEMENT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "ARFAI",
        "authorized_official_first_name": "KIUMARS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-359-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "0002402666-0001-2",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.