Organization Active NPI

Pain and Addiction Medicine Associates of Southern

  • Specialist
  • Encino, CA
National Provider Identifier
1902941271
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A63487 Issued in CA
Legal business name
PAIN AND ADDICTION MEDICINE ASSOCIATES OF SOUTHERN
Practice address
16260 Ventura Blvd
Ste 309
Encino, CA 91436-2203
Phone
(818) 906-7643
Fax
(818) 906-7641
NPI assigned
Feb 21, 2007
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Dr. Vadim Lipel, MD, CEONPI 1154485696
Title
Owner
Phone
(818) 906-7643

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A63487 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd
Ste 309
Encino, CA 91436-2203

Mailing address

16260 Ventura Blvd
Ste 309
Encino, CA 91436-2203
Phone (818) 906-7643

Other names 1

  • Vadim Lipel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071015000262 CA Part B Supplier - Clinic/Group Practice 1456447960 Receives reassigned benefits from 2 practitioners
Practice locations: Encino, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2093543Pain and Addiction Medicine of Southern California16260 Ventura Blvd Ste 309, Encino, CA 91436Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

16260 Ventura Blvd
Ste 309
Encino, CA 91436
Phone (818) 906-7643

Practitioners & affiliated clinicians

Practitioners 2

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1902941271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "STE 309",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-906-7643",
            "fax_number": "818-906-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "STE 309",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-906-7643",
            "fax_number": "818-906-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ADDICTION MEDICINE ASSOCIATES OF SOUTHERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "LIPEL",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-906-7643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, CEO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A63487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vadim Lipel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.