NPIMap

Organization Active NPI

John Qian M.D. Inc.

Doing business as Sage Pain & Wellness Institute

  • Interventional Pain Medicine Physician
  • San Diego, CA
National Provider Identifier
1902061070
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A72430 Issued in CA
Legal business name
JOHN QIAN M.D. INC.
Doing business as
Sage Pain & Wellness Institute
Practice address
5395 Ruffin Road.
Ste. 204
San Diego, CA 92123-1338
Phone
(858) 571-3630
Fax
(858) 571-3649
NPI assigned
Jul 28, 2008
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Dr. John Xiao-Jiang Qian, M.D.NPI 1649290891
Title
M.D.
Phone
(858) 571-3630

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A72430 CA
Interventional Pain Medicine Physician 208VP0014X A72430 CA Primary

Addresses

Primary practice location

5395 Ruffin Road.
Ste. 204
San Diego, CA 92123-1338

Mailing address

5395 Ruffin Road.
Ste. 204
San Diego, CA 92123-1338
Phone (858) 571-3630

Other identifiers 1

IdentifierTypeStateIssuer
00A724300MedicaidCA

Other names 1

  • Sage Pain & Wellness Institute Doing business as

National Provider Directory

National Provider Directory

Locations

344 F St
Ste 203
Chula Vista, CA 91910

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1902061070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN ROAD.",
            "address_2": "STE. 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-571-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN ROAD.",
            "address_2": "STE. 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-571-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN QIAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "QIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "XIAO-JIANG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "858-571-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A72430",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A72430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A724300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Pain & Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.