Pain and Addiction Medicine, Inc.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

PAIN AND ADDICTION MEDICINE, INC.

Practice address

286 Euclid Ave Ste 207
San Diego, CA 92114-3612

Phone

(619) 210-9291

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Aidan Mathew Clarke, MDNPI 1215941158

Title

Ceo

Phone

(619) 210-9291

Specialties & licenses 3

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24340/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Aidan M Clarke, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1215941158
  NPD (past) Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1962075986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 ONONDAGA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173824",
            "telephone_number": "619-210-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143612",
            "telephone_number": "619-210-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND ADDICTION MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "AIDAN",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-210-9291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Paik, PA-C
• Kacie Kyungsun Paik, MD
• Huma Memon Paika, MD
• Mohammed K Paika, M.D.
• Pain Allevia Medical Corporation
• Pain and Rehabilitation Technologies
• Pain Center - San Diego PC
• Pain Relief Medical Group a Prof Medical Corp
• Pain Solutions Inc
• Andrea Painter

• Addiction Medicine (Preventive Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.