Active NPI
CPMS Medical Group
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
National Provider Identifier
1780077230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A86646
- Legal business name
- CPMS MEDICAL GROUP
- Practice address
- 4510 Executive Dr Ste 210
San Diego, CA 92121-3023 - Phone
- (858) 453-7700
- Fax
- (858) 798-1225
- NPI assigned
- Mar 9, 2015
- 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
- Ms. Nicci Jayne Parker
- Title
- Office Manager
- Phone
- (858) 453-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A86646 | CA | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | A103353 | CA |
Addresses
Primary practice location
4510 Executive Dr Ste 210
San Diego, CA 92121-3023
Mailing address
PO Box 501724
San Diego, CA 92150-1724
Phone (858) 453-7700
Other names 1
- Comprehensive Pain Management Specialists
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Poway, CA
- NPI 1538173950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1780077230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501724",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921501724",
"telephone_number": "858-453-7700",
"fax_number": "858-798-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213023",
"telephone_number": "858-453-7700",
"fax_number": "858-798-1225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPMS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "NICCI",
"authorized_official_middle_name": "JAYNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "858-453-7700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A86646",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "A103353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Pain Management Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.