Active NPI
Community Pain Management Inc.
- Interventional Pain Medicine Physician
- El Centro, CA
National Provider Identifier
1942014980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharron Thompson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Rancho Mirage, CA
- NPI 1669462883
CA
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.