Organization Active NPI

San Diego Comprehensive Pain Management Center, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • El Centro, CA
National Provider Identifier
1881295608
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
Practice address
1575 W Main St
El Centro, CA 92243-2211
Phone
(760) 482-5931
Fax
(760) 482-5936
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Tawni Webber
Title
Billing Manager
Phone
(619) 640-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

1575 W Main St
El Centro, CA 92243-2211

Mailing address

1575 W Main St
El Centro, CA 92243-2211
Phone (760) 482-5931

National Provider Directory

National Provider Directory
Part of
David J Smith MD

Locations

578 G St
Brawley, CA 92227
Phone (760) 344-0700

2060 Otay Lakes Rd
Ste 200
Chula Vista, CA 91913
Phone (619) 640-5555

1575 W Main St
El Centro, CA 92243
Phone (619) 640-5555

626 W Main St
El Centro, CA 92243
Phone (760) 482-5931

3703 Camino del Rio S
Ste 210
San Diego, CA 92108
Phone (619) 640-5555

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1881295608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432211",
            "telephone_number": "760-482-5931",
            "fax_number": "760-482-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432211",
            "telephone_number": "760-482-5931",
            "fax_number": "760-482-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC,",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "TAWNI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "619-640-5555"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.