Organization Active NPI

Pacific Pain Management, Inc.

  • Interventional Pain Medicine Physician
  • Ventura, CA
National Provider Identifier
1427093137
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A85317 Issued in CA
Legal business name
PACIFIC PAIN MANAGEMENT, INC.
Practice address
1280 S Victoria Ave Ste 204
Ventura, CA 93003-6551
Phone
(805) 644-4930
Fax
(805) 654-1284
NPI assigned
Jun 17, 2006
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Anna Aragon
Title
Insurance Coordinator
Phone
(805) 644-4930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A85317 CA
Interventional Pain Medicine Physician 208VP0014X A85317 CA Primary

Addresses

Primary practice location

1280 S Victoria Ave Ste 204
Ventura, CA 93003-6551

Mailing address

1280 S Victoria Ave Ste 204
Ventura, CA 93003-6551
Phone (805) 644-4930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000732 CA Part B Supplier - Clinic/Group Practice 8729098090 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1088757Pacific Pain Management1280 S Victoria Ave #204, Ventura, CA 93003Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

8325 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 587-6992

Practitioners & affiliated clinicians

Practitioners 2

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1427093137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 204",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036551",
            "telephone_number": "805-644-4930",
            "fax_number": "805-654-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 204",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036551",
            "telephone_number": "805-644-4930",
            "fax_number": "805-654-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "805-644-4930"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A85317",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A85317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.