NPIMap

Organization Active NPI

Advanced Pain Medical Group, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Encino, CA
National Provider Identifier
1275009656
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 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
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Jackie Sarian
Title
Practice Administrator
Phone
(818) 348-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL JSarian@apmgca.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159612Advanced Pain Medical Group Inc16030 Ventura Blvd Suite 100, Encino, CA 91436Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1275009656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 444",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Ventura Blvd Suite 100",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "91436",
            "country_code": "US",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "SARIAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-348-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JSarian@apmgca.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "16030 Ventura Blvd Suite 100",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.