Active NPI
Southern California Injury Treatment Center MGT
- Interventional Pain Medicine Physician
- Chino Hills, CA
National Provider Identifier
1932079084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SOUTHERN CALIFORNIA INJURY TREATMENT CENTER MGT
- Practice address
- 15857 Pomona Rincon Rd
Chino Hills, CA 91709-5505 - Phone
- (844) 787-3286
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre Riveroy
- Title
- Partner
- Phone
- (909) 261-1263
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
15857 Pomona Rincon Rd
Chino Hills, CA 91709-5505
Mailing address
15857 Pomona Rincon Rd
Chino Hills, CA 91709-5505
Phone (844) 787-3286
National Provider Directory
National Provider DirectoryLocations
15857 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (844) 787-3286
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Chino Hills, CA
- NPI 1053677492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1932079084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15857 POMONA RINCON RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095505",
"telephone_number": "844-787-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15857 POMONA RINCON RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095505",
"telephone_number": "844-787-3286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA INJURY TREATMENT CENTER MGT",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "RIVEROY",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "909-261-1263",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.