Hemet Pain Management Center, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

HEMET PAIN MANAGEMENT CENTER, LLC

Practice address

162 N Santa Fe St
Hemet, CA 92543-4451

Phone

(951) 506-9522

Fax

(951) 925-5905

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Alexis Cicero

Title

Credentialing Coordinator

Phone

(951) 699-0303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1306117429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893520",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925893520",
            "telephone_number": "951-699-0303",
            "fax_number": "951-296-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N SANTA FE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434451",
            "telephone_number": "951-506-9522",
            "fax_number": "951-925-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET PAIN MANAGEMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "951-699-0303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemet Healthcare Surgicenter, Inc.
• Hemet Infusion & Specialty Pharmacy Inc (Best Outcomes Clinic Pharmacy)
• Hemet Medical RX (Advanced Care Pharmacy)
• Hemet Mobility Center Inc.
• Hemet OB-GYN Inc
• Hemet Prosthetic & Orthotic Group, Inc.
• Hemet Radiology Medical Group, Inc.
• Hemet SNF Healthcare, LLC (San Jacinto Valley Post Acute)
• Hemet Unified School District
• Hemet Uro-Endo Surgicenter Inc.

• Certified Registered Nurse Anesthetist in Hemet, CA
• Providers in Hemet, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.