Organization Active NPI

Westlake Pain Management Medical Associates Inc.

Doing business as Atlas Pain Management

  • Pain Medicine Physician
  • Downey, CA
National Provider Identifier
1982711677
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
WESTLAKE PAIN MANAGEMENT MEDICAL ASSOCIATES INC.
Doing business as
Atlas Pain Management
Practice address
8067 Florence Ave
Downey, CA 90240-3816
Phone
(562) 622-0095
Fax
(562) 622-0087
NPI assigned
Aug 25, 2006
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Jessica Roger
Title
Administrator
Phone
(562) 622-0095

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X CA
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

8067 Florence Ave
Downey, CA 90240-3816

Mailing address

8067 Florence Ave
Downey, CA 90240-3816
Phone (562) 622-0095

Other names 1

  • Atlas Pain Management Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503001240 CA Part B Supplier - Clinic/Group Practice 3173511748 Receives reassigned benefits from 4 practitioners
Practice locations: Whittier, CA; Downey, CA; Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1385 Del Norte Rd
Camarillo, CA 93010
Phone (805) 988-4097

11411 Brookshire Ave
Ste 205
Downey, CA 90241
Phone (562) 622-0095

8067 Florence Ave
Downey, CA 90240
Phone (562) 622-0095

3939 Atlantic Ave
Ste 217
Long Beach, CA 90807
Phone (562) 901-2453

3771 Katella Ave
Ste 310
Los Alamitos, CA 90720
Phone (562) 430-3561

1700 Lombard St
Oxnard, CA 93030
Phone (805) 988-6510

300 S 5th St
Ste B
Oxnard, CA 93030
Phone (866) 282-8387

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1982711677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8067 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403816",
            "telephone_number": "562-622-0095",
            "fax_number": "562-622-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403816",
            "telephone_number": "562-622-0095",
            "fax_number": "562-622-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE PAIN MANAGEMENT MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "ROGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-622-0095"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.