Pain Management & Rehabilitation Medicine Center PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC

Practice address

535 E McKellips Rd Ste 111
Mesa, AZ 85203-2525

Phone

(480) 223-1333

Fax

(480) 223-1907

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Yury Gampel, DC

Title

Owner

Phone

(818) 880-8605

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1295760916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD STE 102-587",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "818-880-8605",
            "fax_number": "818-579-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032525",
            "telephone_number": "480-223-1333",
            "fax_number": "480-223-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 S Ellsworth Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852122165",
            "country_code": "US",
            "telephone_number": "480-939-3675",
            "fax_number": "480-939-4293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11851 N 51st Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853042809",
            "country_code": "US",
            "telephone_number": "602-892-0915",
            "fax_number": "602-362-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GAMPEL",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-880-8605",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Matthew Pagsolingan, RN
• Tara C Pai, DPT
• Angel Beth Paige, LPCC, LPC, LISAC
• Jasiya Paika, FNP
• Pain Experts of Arizona PC
• Pain Stop Accident Injury LLC
• Jayakrishna Paineni
• Megan K Painter, FNP-BC, APNP
• Painx Joint- Revitalization Inc
• Pairing Care LLC

• Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.