Pain Doctors MD Medical Corporation

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

G50055 Issued in CA

Legal business name

PAIN DOCTORS MD MEDICAL CORPORATION

Practice address

2865 Atlantic Ave
226
Long Beach, CA 90806-1740

Phone

(714) 926-8444

Fax

(562) 490-8599

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

John R Gurskis, MDNPI 1417010182

Title

President

Phone

(714) 926-8444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• John Ronald Gurskis, M.D.

  • Specialist
  • Fountain Valley, CA
  • NPI 1417010182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1932652633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 SAGE CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082327",
            "telephone_number": "714-926-8444",
            "fax_number": "562-490-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "226",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "714-926-8444",
            "fax_number": "562-490-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DOCTORS MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "GURSKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-926-8444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G50055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette D Paige, LVN
• Kittya Paigne, MD
• Sompia Paigne, LCSW
• Johnny Paik
• Pain and Functional Rtehabilitation Experts
• Pain Management Medical Center
• Marleny Pais Sampedro, ACSW
• Paola Cecilia Pajares
• Adela Pajazetovic
• Hooshang Pak, MD

• Pain Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.