Medical Plaza of San Pedro Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A121616 Issued in CA

Legal business name

MEDICAL PLAZA OF SAN PEDRO INC.

Doing business as

South Bay Pain Docs

Practice address

2557A Pacific Coast Hwy
Torrance, CA 90505-7035

Phone

(310) 626-8037

NPI assigned

Oct 16, 2012

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Weitzman, M.D.

Title

President

Phone

(424) 250-1680

Specialties & licenses 1

Addresses

Other names 1

• South Bay Pain Docs Doing business as

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.

• Mehdi Tahsini, M.D.

  • Urgent Care Clinic/Center
  • Torrance, CA
  • NPI 1700073772
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1396098216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 PACIFIC COAST HWY STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057064",
            "telephone_number": "424-250-1680",
            "fax_number": "424-250-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557A PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057035",
            "telephone_number": "310-626-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA OF SAN PEDRO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-250-1680",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A121616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Pain Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.