Active NPI
Pain Management Partners, LP
- Pain Medicine (Anesthesiology) Physician
- Banning, CA
National Provider Identifier
1508816430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN MANAGEMENT PARTNERS, LP
- Practice address
- 264 N Highland Springs Ave
Banning, CA 92220-3082 - Phone
- (951) 769-4762
- Fax
- (818) 715-1722
- NPI assigned
- May 11, 2006
- 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
- Devin Borna, M.D.
- Title
- Partner
- Phone
- (951) 741-7411
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | CA | Primary |
Addresses
Primary practice location
264 N Highland Springs Ave
Banning, CA 92220-3082
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0102670 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1554 Barton Rd
Ste 436
Redlands, CA 92373
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Banning, CA
- NPI 1518932680
-
- Anesthesiology Physician
- Northridge, CA
- NPI 1356316426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355356800000",
"number": "1508816430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 N HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922203082",
"telephone_number": "951-769-4762",
"fax_number": "818-715-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT PARTNERS, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2012-12-13",
"status": "A",
"authorized_official_last_name": "BORNA",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "951-741-7411",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0102670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.