Advanced Pain Medical Group, Inc
Organization Active NPI Pain Medicine Physician · Bakersfield, CA
NPI 1851832463 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1851832463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- ADVANCED PAIN MEDICAL GROUP, INC
- Practice address
- 4500 Trade Center Dr
Bakersfield, CA 93311-8716 - Phone
- (661) 735-5597
- Fax
- (661) 735-5204
- NPI assigned
- Mar 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Sylvie Yang
- Title
- Chief Financial Officer
- Phone
- (818) 657-5642
Other NPIs on the same Medicare enrollment 1
Practitioners 2
-
Paul Bennett Johnson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070705000374 | CA | Part B Supplier - Clinic/Group Practice | 1557461597 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burbank, CA; Santa Clarita, CA; West Hills, CA |
National Provider Directory
Locations
1510 W Verdugo Ave
Ste E
Burbank, CA 91506
Phone (818) 954-0510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine Physician |
208VP0000X | Yes | ||
| Interventional Pain Medicine Physician |
208VP0014X |
Addresses
Primary practice location
4500 Trade Center Dr
Bakersfield, CA 93311-8716
Mailing address
7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone (818) 348-7253
Other providers in Bakersfield, CA
- Advanced Kidney Medical Group
- Advanced Laser and Cosmetic Surgery Center LLC
- Advanced Medical Psychiatric Services
- Advanced Pain Medical Group
- Advanced Pain Medical Group, Inc
- Advanced Psychological Prescriptives
- Advanced Recovery, LLC
- Advanced Sleep Medicine Services Inc
- Advanced Sub-Acute Facilities LLC
- Advanced Surgical Services Inc
All providers in Bakersfield, CA · Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.