Organization Active NPI

High Desert Pain Management Institute LLC

  • Interventional Pain Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1619104569
Registry record updated Jun 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A9115 Issued in CA
Legal business name
HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC
Practice address
18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone
(760) 242-3939
Fax
(760) 242-3232
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2012

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

Authorized official

Name
Dr. Mersedeh Karimian, D.O.NPI 1952516304
Title
President
Phone
(760) 242-3939

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 20A9115 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 20A9115 CA Primary

Addresses

Primary practice location

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306

Mailing address

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone (760) 242-3939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000788 CA Part B Supplier - Clinic/Group Practice 2961546130 Receives reassigned benefits from 2 practitioners
Practice locations: Apple Valley, CA; Palm Desert, CA; Palm Springs, CA; Rancho Mirage, CA; Victorville, CA

National Provider Directory

National Provider Directory

Locations

18400 US Highway 18
Unit F
Apple Valley, CA 92307

72650 Fred Waring Dr
Ste 103
Palm Desert, CA 92260
Phone (760) 810-7587

Practitioners & affiliated clinicians

Practitioners 3

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339200000000",
    "number": "1619104569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939",
            "fax_number": "760-242-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939",
            "fax_number": "760-242-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2012-06-09",
        "status": "A",
        "authorized_official_last_name": "KARIMIAN",
        "authorized_official_first_name": "MERSEDEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A9115",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A9115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.