NPIMap

Organization Active NPI

Central Pacific Pain Management

Doing business as Cppms

  • Specialist
  • Camarillo, CA
National Provider Identifier
1376745497
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL PACIFIC PAIN MANAGEMENT
Doing business as
Cppms
Practice address
1100 Paseo Camarillo
Camarillo, CA 93010
Phone
(805) 484-8558
Fax
(805) 484-3099
NPI assigned
Jun 1, 2007
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Dale G Kiker, MDNPI 1063490464
Title
Managing Partner
Phone
(805) 484-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1100 Paseo Camarillo
Camarillo, CA 93010

Mailing address

P.O. Box 5457
San Luis Obispo, CA 93403
Phone (805) 484-8558

Other names 1

  • CPPMS Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Paseo Camarillo
Camarillo, CA 93010
Phone (805) 484-8558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1376745497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5457",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93403",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PACIFIC PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "KIKER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "805-484-8558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPPMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.