NPIMap

Organization Active NPI

Advanced Pain Treatment Medical Center, Inc.

  • Pain Clinic/Center
  • San Pedro, CA
National Provider Identifier
1306021159
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A50028 Issued in CA
Legal business name
ADVANCED PAIN TREATMENT MEDICAL CENTER, INC.
Practice address
1412 W 7TH St
San Pedro, CA 90732-3507
Phone
(310) 548-5481
Fax
(310) 548-5000
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Kamran Ghadimi, M.D.NPI 1174615629
Title
Doctor
Phone
(310) 548-5481

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X A50028 CA Primary

Addresses

Primary practice location

1412 W 7TH St
San Pedro, CA 90732-3507

Mailing address

1412 W 7TH St
San Pedro, CA 90732-3507
Phone (310) 548-5481

National Provider Directory

National Provider Directory

Locations

1412 W 7th St
San Pedro, CA 90732
Phone (310) 548-5481

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1306021159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323507",
            "telephone_number": "310-548-5481",
            "fax_number": "310-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323507",
            "telephone_number": "310-548-5481",
            "fax_number": "310-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN TREATMENT MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "GHADIMI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-548-5481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A50028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.