Organization Active NPI

Community Pain Management Inc.

  • Interventional Pain Medicine Physician
  • El Centro, CA
National Provider Identifier
1942014980
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COMMUNITY PAIN MANAGEMENT INC.
Practice address
765 Broadway Ave
El Centro, CA 92243-2434
Phone
(760) 540-1508
Fax
(619) 304-1580
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Sharron Thompson, MDNPI 1669462883
Title
Medical Director
Phone
(619) 629-6504

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
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

765 Broadway Ave
El Centro, CA 92243-2434

Mailing address

765 Broadway Ave
El Centro, CA 92243-2434
Phone (760) 540-1508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318003533 CA Part B Supplier - Clinic/Group Practice 3870015985 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

National Provider Directory

National Provider Directory

Locations

765 Broadway Ave
El Centro, CA 92243
Phone (619) 629-6504

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1942014980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 BROADWAY AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432434",
            "telephone_number": "760-540-1508",
            "fax_number": "619-304-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 BROADWAY AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432434",
            "telephone_number": "760-540-1508",
            "fax_number": "619-304-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PAIN MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-629-6504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "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 El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.