Active NPI
Pacific Pain Management, Inc.
- Interventional Pain Medicine Physician
- Ventura, CA
National Provider Identifier
1427093137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A85317
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1088757 | Pacific Pain Management | Certificate of waiver | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- Ventura, CA
- NPI 1912934779
-
- Neurological Surgery Physician
- Palmdale, CA
- NPI 1497080857
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
- Pacific Central Coast Health Centers (St. John's Cancer Care - Ventura)
- Pacific Clinics
- Pacific Coast Center for Family Counseling & Personal Development, Inc
- Pacific Crest Hospice of Ventura County, LLC
- Pacific Inpatient Physicians
- Pacific Therapy Services, Inc
- Pacificaspine,PC
- Yvette Padilla, M.D.
- Christine Padua, OTR/L
- Michael Joseph Paglia, DO
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.