NPIMap

Organization Active NPI

Med-Ease Pain, Inc.

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1255503835
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25599 Issued in CA
Legal business name
MED-EASE PAIN, INC.
Practice address
683 Indian Hill Blvd
Pomona, CA 91767-5303
Phone
(909) 620-7884
Fax
(909) 469-2467
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Stephanie Chen, DPT
Title
President
Phone
(909) 620-7884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT25599 CA Primary

Addresses

Primary practice location

683 Indian Hill Blvd
Pomona, CA 91767-5303

Mailing address

683 Indian Hill Blvd
Pomona, CA 91767-5303
Phone (909) 620-7884

National Provider Directory

National Provider Directory

Locations

683 Indian Hill Blvd
Pomona, CA 91767
Phone (909) 620-7884

Practitioners & affiliated clinicians

Practitioners 5

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1255503835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675303",
            "telephone_number": "909-620-7884",
            "fax_number": "909-469-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675303",
            "telephone_number": "909-620-7884",
            "fax_number": "909-469-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-EASE PAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-620-7884",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.