Pain Management & Injury Relief Medical Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER, INC

Practice address

1120 Newbury Rd Ste 100
Thousand Oaks, CA 91320-3663

Phone

(805) 557-0096

Fax

(805) 557-7390

NPI assigned

Oct 23, 2019

Last updated

Nov 6, 2019By 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

Alexander P Hersel, MDNPI 1689696718

Title

Owner

Phone

(310) 808-4308

Specialties & licenses 1

Addresses

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.

• Alexander P Hersel, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Thousand Oaks, CA
  • NPI 1689696718
  Authorized official Same address or phone

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1538702469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NEWBURY RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203663",
            "telephone_number": "805-557-0096",
            "fax_number": "805-557-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NEWBURY RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203663",
            "telephone_number": "805-557-0096",
            "fax_number": "805-557-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "HERSEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-808-4308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Palms Internal Medicine, P.C.
• Pacific Surgical Suite, LLC
• Efren Padilla
• Steven S Pahlavan, RN
• Heather Paicely
• Tammy Pak, L.AC
• Andrea Pakula, M.D.
• Liana Palace
• Deborah Palaski, RNP
• Juliette Anita Hidemi Palazzolo

• Multi-Specialty Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.