Active NPI
Ahura Healthcare Corporation
- Interventional Pain Medicine Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- AHURA HEALTHCARE CORPORATION
- Practice address
- 14390 Civic Dr
Victorville, CA 92392-9709 - Phone
- (888) 873-6220
- NPI assigned
- Sep 17, 2012
- 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
- Dr. Nikan Khatibi
- Title
- Medical Director
- Phone
- (888) 873-6220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Pain Clinic/Center | 261QP3300X | C3879752 | CA |
Addresses
Primary practice location
14390 Civic Dr
Victorville, CA 92392-9709
Mailing address
29911 Niguel Rd Unit 6429
Laguna Niguel, CA 92607-2417
Phone (949) 842-9628
Other practice location 1
1307 W 6th St
Suite 105
Corona, CA 92882-3294
Phone (888) 873-6220
Other practice location 2
160 N Date St
Escondido, CA 92025-3406
Phone (888) 873-6220
Other practice location 3
24910 Las Brisas Rd Ste 121
Murrieta, CA 92562-4035
Phone (888) 873-6220
Other names 1
- Inland Pain Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1307 W 6th St
Ste 105
Corona, CA 92882
Phone (800) 674-7207
430 N Cedar St
Ste D
Escondido, CA 92025
160 N Date St
Escondido, CA 92025
Phone (760) 746-2860
15888 Main St
Ste 108
Hesperia, CA 92345
Phone (760) 244-4656
5153 Holt Blvd
Montclair, CA 91763
Phone (909) 625-6545
26940 E Hospital Rd
Moreno Valley, CA 92555
Phone 5132814400208
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Corona, CA
- NPI 1326363300
-
- Adult Health Nurse Practitioner
- Corona, CA
- NPI 1457810061
-
- Family Nurse Practitioner
- Irvine, CA
- NPI 1164998886
-
- Pharmacotherapy Pharmacist
- Orange, CA
- NPI 1255484457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1861742991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29911 NIGUEL RD UNIT 6429",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926072417",
"telephone_number": "949-842-9628",
"fax_number": "888-873-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14390 CIVIC DR",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923929709",
"telephone_number": "888-873-6220"
}
],
"practiceLocations": [
{
"address_1": "1307 W 6th St",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928823294",
"country_code": "US",
"telephone_number": "888-873-6220",
"fax_number": "888-873-6220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 N Date St",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253406",
"country_code": "US",
"telephone_number": "888-873-6220",
"fax_number": "888-873-6220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24910 Las Brisas Rd Ste 121",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925624035",
"country_code": "US",
"telephone_number": "888-873-6220",
"fax_number": "888-876-6220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AHURA HEALTHCARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-17",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "KHATIBI",
"authorized_official_first_name": "NIKAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "888-873-6220",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "CA",
"license": "C3879752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inland Pain Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inland Pain Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.