Active NPI
American Pain Institue Surgical Medical Center Inc
- Ambulatory Surgical Clinic/Center
- El Monte, CA
National Provider Identifier
1972724987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- IMQ 10174
- Legal business name
- AMERICAN PAIN INSTITUE SURGICAL MEDICAL CENTER INC
- Practice address
- 10610 Lower Azusa Rd
El Monte, CA 91731-1210 - Phone
- (626) 279-1855
- Fax
- (626) 279-9455
- NPI assigned
- May 1, 2007
- Last updated
- Jan 12, 2010
- 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
- Miguel A Dominguez, M.D.
- Title
- Owner
- Phone
- (626) 279-1855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | IMQ 10174 | CA | Primary |
Addresses
Primary practice location
10610 Lower Azusa Rd
El Monte, CA 91731-1210
Mailing address
10610 Lower Azusa Rd
El Monte, CA 91731-1210
Phone (626) 279-1855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FNP 31042 | Other | CA | FICTITIOUS NAME PERMIT |
| IMQ ACCREDITATION | Other | CA | 10174 |
| 18948 | Other | CA | CITY BUSINESS LICENSE |
Other names 1
- CaliforniaCare Surgical Medical Center Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1972724987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10610 LOWER AZUSA RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311210",
"telephone_number": "626-279-1855",
"fax_number": "626-279-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 LOWER AZUSA RD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311210",
"telephone_number": "626-279-1855",
"fax_number": "626-279-9455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN PAIN INSTITUE SURGICAL MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-279-1855",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "IMQ 10174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FICTITIOUS NAME PERMIT",
"identifier": "FNP 31042",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "10174",
"identifier": "IMQ ACCREDITATION",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY BUSINESS LICENSE",
"identifier": "18948",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CaliforniaCare Surgical Medical Center Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.