Advanced Pain Medical Group, Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 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

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvie Yang

Title

Chief Financial Officer

Phone

(818) 657-5642

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Pain Medical Group, Inc.

  • Pain Medicine Physician
  • West Hills, CA
  • NPI 1891818951

  O20070705000374

  Same enrollment

Locations

Practitioners 2

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.

• Paul Bennett Johnson, M.D.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1750449229

  Anesthesiology

  NPD
• Eric Miguel Martinez, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hills, CA
  • NPI 1043849466
  NPD

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1851832463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 TRADE CENTER DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118716",
            "telephone_number": "661-735-5597",
            "fax_number": "661-735-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-657-5642"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Pain Medical Group
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• Advanced Psychological Prescriptives
• Advanced Recovery, LLC
• Advanced Sleep Medicine Services Inc
• Advanced Sub-Acute Facilities LLC
• Advanced Surgical Services Inc

• Pain Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.