Interdisciplanary Pain Management

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

INTERDISCIPLANARY PAIN MANAGEMENT

Practice address

819 Auto Center Drive
Palmdale, CA 93551

Phone

(661) 267-6876

Fax

(661) 538-9438

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lance Jackson, DC

Title

Ceo

Phone

(661) 267-6876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1992888994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDISCIPLANARY PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-267-6876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpatient Services of California Inc
• Instacare Homehealth LLC
• Institute for Family Centered Services Inc.
• Institute of Neurological Surgery
• Integrated Rehabilitation Medical Corp
• Richard Alan Iosue, O.D.
• Ivan Banner Boarding Care
• Ivy Elite Care LLC
• J. Yang Chiropractic Corp
• Judy Eva Jackson, PT

• Lodging Provider in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.