Organization Active NPI

Sanjog a. Pangarkar, M.D.

  • Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1255461083
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A83673 Issued in CA
Legal business name
SANJOG A. PANGARKAR, M.D.
Practice address
100 UCLA Medical PLZ
Ste. 760
Los Angeles, CA 90095-0001
Phone
(310) 794-7246
NPI assigned
Mar 7, 2007
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Sanjog A. Pangarkar, M.D.
Title
Owner
Phone
(310) 794-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A83673 CA Primary

Addresses

Primary practice location

100 UCLA Medical PLZ
Ste. 760
Los Angeles, CA 90095-0001

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596

National Provider Directory

National Provider Directory

Locations

100 UCLA Medical Plz
Ste 760
Los Angeles, CA 90024
Phone (310) 264-7246

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1255461083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "STE. 760",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJOG A. PANGARKAR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "PANGARKAR",
        "authorized_official_first_name": "SANJOG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-794-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A83673",
            "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 Jun 28, 2013; 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.