Inland Empire Integrated Pain Management Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INLAND EMPIRE INTEGRATED PAIN MANAGEMENT CENTER INC

Practice address

802 Magnolia Ave Ste 103
Corona, CA 92879-3124

Phone

(951) 808-5221

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Robert KrageNPI 1700964632

Title

Authorized Official

Phone

(951) 808-5221

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Krage, D.C.

  • Chiropractor
  • Anaheim, CA
  • NPI 1700964632
  NPD Authorized official
• Heidi Regenass, M.D.

  • Plastic Surgery Physician
  • Santa Ana, CA
  • NPI 1225258965

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1609458074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793124",
            "telephone_number": "951-808-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE INTEGRATED PAIN MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "KRAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "951-808-5221"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusion Partners 360 Consulting Group, LLC
• Nancy Iniguez-Padilla
• Inland Durable Medical Equipment &
• Inland Empire Adult Day Healthcare Center, Inc.
• Inland Empire Imaging
• Inland Empire Minimally Invasive Surgery Institute Inc
• Inland Empire Surgical Center LP
• Inland Eye Specialists, a Medical Corporation
• Inland Heart Doctors Medical Group
• Inland Lung Institute Professional Corporation

• Family Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.