NPIMap

Organization Active NPI

San Diego Comprehensive Pain Management Center, Inc

Doing business as El Centro Comprehensive Pain Management Center,Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Centro, CA
National Provider Identifier
1770292807
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
Doing business as
El Centro Comprehensive Pain Management Center,Inc
Practice address
626 W Main St
El Centro, CA 92243-2920
Phone
(760) 482-5931
Fax
(760) 482-5936
NPI assigned
Nov 17, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. David J Smith, MDNPI 1811930357
Title
Owner
Phone
(619) 640-5555

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)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary

Addresses

Primary practice location

626 W Main St
El Centro, CA 92243-2920

Mailing address

3703 Camino del Rio S Ste 210
San Diego, CA 92108-4033
Phone (619) 640-5555

Other names 1

  • El Centro Comprehensive Pain Management Center,Inc Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1770292807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084033",
            "telephone_number": "619-640-5555",
            "fax_number": "619-640-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432920",
            "telephone_number": "760-482-5931",
            "fax_number": "760-482-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-640-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Centro Comprehensive Pain Management Center,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.