NPIMap

Organization Active NPI

Huntington Pain and Wellness Center, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Pasadena, CA
National Provider Identifier
1962760991
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
20A11212 Issued in CA
Legal business name
HUNTINGTON PAIN AND WELLNESS CENTER, INC
Practice address
301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561
Phone
(626) 389-8005
Fax
(626) 389-8009
NPI assigned
Apr 27, 2012
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Amanda Trujillo
Title
Director of Operations
Phone
(626) 389-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A11212 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561

Mailing address

301 S Fair Oaks Ave
Suite 402
Pasadena, CA 91105-2561
Phone (626) 389-8005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1962760991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 402",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-389-8005",
            "fax_number": "626-389-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 402",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-389-8005",
            "fax_number": "626-389-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON PAIN AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "626-389-8005"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A11212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.