Orthopedic Pain Management Center, a Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHOPEDIC PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION

Doing business as

Joint Spine & Sport Orthopedic Pain Management Center

Practice address

16952 Ventura Blvd
Encino, CA 91316-4197

Phone

(818) 789-3964

Fax

(818) 789-3967

NPI assigned

May 25, 2006

Last updated

May 7, 2018By 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

Mohammad Ali Dorafshar

Title

Consultant

Phone

(818) 999-0099

Specialties & licenses 1

Addresses

Other names 1

• Joint Spine & Sport Orthopedic Pain Management Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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.

• Pejman Eli Shirazy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Encino, CA
  • NPI 1669470068
  Medicare reassignment NPD
• Hasmig Darakian, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1689928541
  Medicare reassignment

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1740236728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164197",
            "telephone_number": "818-789-3964",
            "fax_number": "818-789-3967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Wilshire Blvd Ste 490",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900365811",
            "country_code": "US",
            "telephone_number": "323-939-1790",
            "fax_number": "818-789-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "DORAFSHAR",
        "authorized_official_first_name": "MOHAMMAD ALI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "818-999-0099"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Spine & Sport Orthopedic Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felipe De Jesus Orozco
• Jimmy Orozco
• Juliana Ortega
• Leonardo Ortega, BA
• Orthopedic Consultants Medical Group, Inc.
• Orthopedic Pain Management Injury Institute, Inc.
• Stacey Dyan Ortiz-Mendez
• Fabiola Rosa Ortiz, LMFT
• Guadalupe Ortiz
• Talisa Rose Ortiz

• Physical Medicine & Rehabilitation Physician in Encino, CA
• Providers in Encino, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.