NPIMap

Individual provider Active NPI

Ben Shwachman, M.D.

  • Interventional Pain Medicine Physician
  • Covina, CA
National Provider Identifier
1346247335
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G11026 Issued in CA
Practice address
315 N 3Rd Ave
Suite 200
Covina, CA 91723-1905
Phone
(626) 967-3176
Fax
(626) 967-8743
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G11026 CA
Interventional Pain Medicine Physician 208VP0014X G11026 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave
Suite 200
Covina, CA 91723-1905

Mailing address

315 N 3Rd Ave
Suite 200
Covina, CA 91723-1905
Phone (626) 967-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000010 CA Practitioner - Interventional Pain Management 2769534775 Practice locations: Covina, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G11026CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital Interventional Pain Medicine Past Accepting new patients
Emanate Health Medical Center Interventional Pain Medicine Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Emanate Health Medical Center Interventional Pain Medicine Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Usc Arcadia Hospital Interventional Pain Medicine Past Accepting new patients
Grandview Medical Group, Inc. Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1346247335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-967-3176",
            "fax_number": "626-967-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-967-3176",
            "fax_number": "626-967-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWACHMAN",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G11026",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.