NPIMap

Organization Active NPI

Advanced Pain Medical Group

  • Interventional Pain Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1861933749
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ADVANCED PAIN MEDICAL GROUP
Practice address
110 Jensen CT Ste 1C
Thousand Oaks, CA 91360-7484
Phone
(818) 348-7246
Fax
(818) 348-7248
NPI assigned
Mar 13, 2017
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Dr. Vimal Satyjit Lala, D.O., M.P.H.NPI 1205996501
Title
President / Owner
Phone
(818) 348-7246

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

110 Jensen CT Ste 1C
Thousand Oaks, CA 91360-7484

Mailing address

7230 Medical Center Dr
Suite 500
West Hills, CA 91307-1907
Phone (818) 348-7246

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1861933749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JENSEN CT STE 1C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607484",
            "telephone_number": "818-348-7246",
            "fax_number": "818-348-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "SATYJIT",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "818-348-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., M.P.H."
    },
    "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": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.