Organization Active NPI

Center for Pain Control in California-Medical Associates

  • Pain Clinic/Center
  • Northridge, CA
National Provider Identifier
1780824888
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A54399 Issued in CA
Legal business name
CENTER FOR PAIN CONTROL IN CALIFORNIA-MEDICAL ASSOCIATES
Practice address
11145 Tampa Ave
21B
Northridge, CA 91326-2255
Phone
(818) 366-0474
Fax
(818) 474-7530
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Shubha M Jain, M.D.NPI 1013958230
Title
Office Manager
Phone
(818) 366-0474

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 A54399 CA Primary
Pain Clinic/Center 261QP3300X A47841 CA

Addresses

Primary practice location

11145 Tampa Ave
21B
Northridge, CA 91326-2255

Mailing address

PO Box 8000
Northridge, CA 91327-8000
Phone (818) 366-0474

National Provider Directory

National Provider Directory
Tax ID family
Center for Pain Control2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11145 Tampa Ave
Ste 21B
Northridge, CA 91326
Phone (818) 366-0474

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": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1780824888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913278000",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE",
            "address_2": "21B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262255",
            "telephone_number": "818-366-0474",
            "fax_number": "818-474-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN CONTROL IN CALIFORNIA-MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHUBHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A54399",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A47841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.