Pain & Addiction Medicine Assoc. of So Cal

Primary specialty

SpecialistTaxonomy code 174400000X

License

A63487 Issued in CA

Legal business name

PAIN & ADDICTION MEDICINE ASSOC. OF SO CAL

Practice address

16260 Ventura Blvd
Ste 309
Encino, CA 91436-2203

Phone

(818) 906-7643

Fax

(818) 906-7641

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vadim Lipel Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vadim Lipel, MD

  • Legal Medicine
  • Encino, CA
  • NPI 1154485696
  Medicare reassignment Authorized official
• Guodong Li, M.D. & PH.D.

  • Pain Medicine Physician
  • Beverly Hills, CA
  • NPI 1588988224
  Medicare reassignment NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "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 & ADDICTION MEDICINE ASSOC. OF SO CAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-01-07",
        "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"
        }
    ]
}

• Pacifica Emergency Medical Associates
• Pacifica Emergency Medical Associates, Inc.
• Tabatha Anne Page
• Fenela Pagud Pahed, LMFT138418
• David Paikal, M.D.
• Sean Pakdaman, PHD QME
• Shari Angela Palermo, SLP
• Harvey Dale Paley, M.D.
• Linda T. Palius, MS
• Palm Home Health Care, Inc.

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.