Organization Active NPI

Yuma Integrated Pain & Rehab

  • Pain Medicine Physician
  • Yuma, AZ
National Provider Identifier
1720644099
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
YUMA INTEGRATED PAIN & REHAB
Practice address
2503 S Avenue a Ste 1
Yuma, AZ 85364-7174
Phone
(480) 233-0457
Fax
(928) 276-4649
NPI assigned
May 13, 2019
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Erika Lopez
Title
Office Manager
Phone
(480) 233-0457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

2503 S Avenue a Ste 1
Yuma, AZ 85364-7174

Mailing address

2503 S Avenue a Ste 1
Yuma, AZ 85364-7174
Phone (480) 233-0457

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1720644099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "480-233-0457",
            "fax_number": "928-276-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S AVENUE A STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647174",
            "telephone_number": "480-233-0457",
            "fax_number": "928-276-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA INTEGRATED PAIN & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-233-0457"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.