Organization Active NPI

Ba Pain Management

  • Pain Clinic/Center
  • Marina del Rey, CA
National Provider Identifier
1720323264
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
BA PAIN MANAGEMENT
Doing business as
California Pain Center
Practice address
13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6393
Phone
(855) 985-7246
Fax
(855) 985-7246
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Dennis Yun, MD
Title
Owner
Phone
(855) 985-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A93764 CA
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6393

Mailing address

5561 Via Portora Unit B
Laguna Woods, CA 92637-6958
Phone (855) 985-7246

Other names 1

  • California Pain Center Doing business as

National Provider Directory

National Provider Directory

Locations

11340 W Olympic Blvd
Ste 335
Los Angeles, CA 90064
Phone (310) 446-1829

2136 Sutter St
San Francisco, CA 94115
Phone (415) 233-9994

Practitioners & affiliated clinicians

Practitioners 1

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": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1720323264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 VIA PORTORA UNIT B",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926376958",
            "telephone_number": "855-985-7246",
            "fax_number": "855-985-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "855-985-7246",
            "fax_number": "855-985-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-985-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A93764",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.