Advanced Pain Medical Group, Inc
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Encino, CA
NPI 1275009656 · NPPES record last updated Mar 29, 2019
Key facts
- NPI
- 1275009656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- ADVANCED PAIN MEDICAL GROUP, INC
- Practice address
- 16055 Ventura Blvd Ste 444
Encino, CA 91436-2601 - Phone
- (818) 348-7246
- Fax
- (818) 348-7248
- NPI assigned
- Oct 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Jackie Sarian
- Title
- Practice Administrator
- Phone
- (818) 348-7246
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2159612 | Advanced Pain Medical Group Inc | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
- Tax ID family
- Advanced Pain Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
16055 Ventura Blvd Ste 444
Encino, CA 91436-2601
Mailing address
7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone (818) 348-7246
Other practice location 1
16030 Ventura Blvd Suite 100
Encino, CA 91436
Phone (818) 348-7246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20823 | Other | CA | PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JSarian@apmgca.com |
Other providers in Encino, CA
- Advanced Chiropractic & Rehab Center Patrick Khaziran DC Inc
- Advanced Chiropractic Solutions
- Advanced Mental Health Center, Inc.
- Advanced Orthopedics, a Medical Group
- Advanced Pain Center, Inc.
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services, Inc.
- Advanced Specialty Medical Center
- Advanced Surgical Center of Encino, LLC
All providers in Encino, CA · Pain Medicine (Anesthesiology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.