Organization Active NPI

Hass Pain Management

  • Pain Medicine Physician
  • Glendora, CA
National Provider Identifier
1497475636
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HASS PAIN MANAGEMENT
Practice address
210 S Grand Ave Ste 315
Glendora, CA 91741-4284
Phone
(844) 663-6567
Fax
(626) 313-1947
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Nazih Iskander, MDNPI 1568435683
Title
Ceo
Phone
(248) 379-3582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

210 S Grand Ave Ste 315
Glendora, CA 91741-4284

Mailing address

1230 Center Court Dr
Covina, CA 91724-3601
Phone (740) 361-8245

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104001753 CA Part B Supplier - Clinic/Group Practice 8729455662 Receives reassigned benefits from 2 practitioners
Practice locations: Glendora, 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
05D2280525Hass Pain Management210 Grand Ave Ste 315, Glendora, CA 91741Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1497475636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CENTER COURT DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243601",
            "telephone_number": "740-361-8245",
            "fax_number": "626-313-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 315",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414284",
            "telephone_number": "844-663-6567",
            "fax_number": "626-313-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASS PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "ISKANDER",
        "authorized_official_first_name": "NAZIH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-379-3582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 S Grand Ave Ste 315",
            "city": "Glendora",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917414284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.