Organization Active NPI

Pacific Pain Medical Group, Inc

  • Interventional Pain Medicine Physician
  • Alhambra, CA
National Provider Identifier
1811471659
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PACIFIC PAIN MEDICAL GROUP, INC
Practice address
707 S Garfield Ave Ste 304
Alhambra, CA 91801-5861
Phone
(626) 282-1600
Fax
(626) 656-1324
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Sarah Phuong Du
Title
Account Receivable Manager
Phone
(626) 656-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

707 S Garfield Ave Ste 304
Alhambra, CA 91801-5861

Mailing address

707 S Garfield Ave Ste 304
Alhambra, CA 91801-5861
Phone (626) 282-1600

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/262320/r4

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1811471659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE STE 304",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015861",
            "telephone_number": "626-282-1600",
            "fax_number": "626-656-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE STE 304",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015861",
            "telephone_number": "626-282-1600",
            "fax_number": "626-656-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "ACCOUNT RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "626-656-1324"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.