Organization Active NPI

Roshan Anesthesia and Pain Corp

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1316714363
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ROSHAN ANESTHESIA AND PAIN CORP
Practice address
11645 Wilshire Blvd Ste 905
Los Angeles, CA 90025-6814
Phone
(310) 415-1047
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Daniel Roshan, MDNPI 1760825665
Title
Medical Director
Phone
(310) 341-0020

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 905
Los Angeles, CA 90025-6814

Mailing address

1223 Wilshire Blvd Unit 566
Santa Monica, CA 90403-5406

Other names 1

  • Alleviate Institute of Spine and Pain Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627000638 CA Part B Supplier - Clinic/Group Practice 5698137776 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA; Long Beach, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1316714363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD UNIT 566",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256814",
            "telephone_number": "310-415-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHAN ANESTHESIA AND PAIN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-341-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alleviate Institute of Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.