NPIMap

Organization Active NPI

Advanced Pain Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Santa Clarita, CA
National Provider Identifier
1770097164
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ADVANCED PAIN MEDICAL GROUP
Practice address
23043 Lyons Ave
Santa Clarita, CA 91321-2719
Phone
(818) 348-7046
NPI assigned
Nov 22, 2017
Last updated
Nov 22, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCE PAIN MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Ginger Johnson
Title
Director
Phone
(818) 348-7253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

23043 Lyons Ave
Santa Clarita, CA 91321-2719

Mailing address

7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone (818) 348-7253

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain20 organizations share this tax ID, including this one
Part of
Advanced Pain

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1770097164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23043 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212719",
            "telephone_number": "818-348-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE PAIN MEDICAL GROUP",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-348-7253"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.