NPIMap

Organization Active NPI

Imperial Valley Pain & Wellness Management Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Centro, CA
National Provider Identifier
1265392674
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
IMPERIAL VALLEY PAIN & WELLNESS MANAGEMENT INC.
Practice address
485 Broadway Ave Ste F
El Centro, CA 92243-2451
Phone
(760) 970-4064
Fax
(619) 304-1580
NPI assigned
Nov 17, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Sharron Lotus Thompson, MDNPI 1669462883
Title
Owner
Phone
(760) 970-4064

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Pain Clinic/Center 261QP3300X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

485 Broadway Ave Ste F
El Centro, CA 92243-2451

Mailing address

485 Broadway Ave Ste F
El Centro, CA 92243-2451
Phone (760) 970-4064

Other names 2

  • Imperial Valley Pain & Wellness Management Inc. Former legal business name
  • Community Pain Management Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229002861 CA Part B Supplier - Clinic/Group Practice 4385130350 Receives reassigned benefits from 2 practitioners
Practice locations: El Centro, CA

National Provider Directory

National Provider Directory

Locations

485 Broadway Ave
Ste F
El Centro, CA 92243
Phone (760) 970-4064

Practitioners & affiliated clinicians

Practitioners 2

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": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1265392674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BROADWAY AVE STE F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432451",
            "telephone_number": "760-970-4064",
            "fax_number": "619-304-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 BROADWAY AVE STE F",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432451",
            "telephone_number": "760-970-4064",
            "fax_number": "619-304-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY PAIN & WELLNESS MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "LOTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-970-4064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Valley Pain & Wellness Management Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Community Pain Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.