Active NPI
Rancho Cucamonga Orthopedic Pain Management, Inc.
- Multi-Specialty Clinic/Center
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.
- Practice address
- 8599 Haven Ave Ste 104
Rancho Cucamonga, CA 91730-4849 - Phone
- (909) 980-0917
- Fax
- (888) 416-6865
- NPI assigned
- Jan 24, 2015
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pejman E. Shirazy, M.D.
- Title
- President/Medical Director
- Phone
- (818) 789-3964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | A76100 | CA | |
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
8599 Haven Ave Ste 104
Rancho Cucamonga, CA 91730-4849
Mailing address
16952 Ventura Blvd
Encino, CA 91316-4197
Phone (818) 789-3964
National Provider Directory
National Provider DirectoryLocations
8599 Haven Ave
Ste 104
Rancho Cucamonga, CA 91730
Phone (909) 980-0917
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Encino, CA
- NPI 1669470068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1750771077",
"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": "8599 HAVEN AVE STE 104",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304849",
"telephone_number": "909-980-0917",
"fax_number": "888-416-6865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHIRAZY",
"authorized_official_first_name": "PEJMAN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-789-3964",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "CA",
"license": "A76100",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
- Abigail Ann Ramsey-Reutgen, D.C.
- Angie Ramsis, RPH
- Rancho Cucamonga Community Hospital, LLC (Rancho Specialty Hospital)
- Rancho Cucamonga Fire Protection District
- Rancho Cucamonga Medical Center
- Rancho Cucamonga Perpetual Help Medical Corporation
- Rancho Dentistry
- Rancho Dialysis Center Inc
- Rancho Eastern Medical Center
- Rancho Foot and Ankle Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.