Advanced Pain Medical Group, Inc.
Organization Active NPI Pain Medicine Physician · West Hills, CA
NPI 1891818951 · NPPES record last updated May 18, 2011
Key facts
- NPI
- 1891818951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- ADVANCED PAIN MEDICAL GROUP, INC.
- Practice address
- 7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907 - Phone
- (818) 348-7246
- Fax
- (818) 348-7248
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Vimal S Lala, D.O.
- Title
- President
- Phone
- (818) 348-7246
Other NPIs on the same Medicare enrollment 1
Practitioners 3
-
Paul Bennett Johnson, M.D.
-
Roma Bhagia, FNP-C
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 Practice locations: Burbank, CA; Santa Clarita, CA; West Hills, CA |
National Provider Directory
Locations
25078 Peachland Ave
Ste E
Santa Clarita, CA 91321
Phone (661) 259-0202
7230 Medical Center Dr
Ste 500A
West Hills, CA 91307
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
7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907
Mailing address
7230 Medical Center Dr
Suite #500
West Hills, CA 91307-1907
Phone (818) 348-7246
Other providers in West Hills, CA
- Advance Pain Medical Group
- Advanced Anesthesia Medical Group, Inc
- Advanced Anesthesia Specialists a Medical Corporation
- Advanced Pain Institute
- Advanced Pain Medical Group, Inc
- Advanced Pain Surgical Center Inc
- Advanced Regenerative Cell Inc.
- Affiliates in Medical Specialties Medical GRP. Inc
- Affordable Vision Center Inc
- Afsaneh Khalili M.D. Corp.
All providers in West Hills, 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 May 18, 2011. 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.