JAVID GHANDEHARI, MD, A CALIFORNIA MEDICAL CORPORATION


Address: 1328 22nd St, Santa Monica, CA 90404-2032
Phone: 3108295511

JAVID GHANDEHARI, MD, A CALIFORNIA MEDICAL CORPORATION (NPI# 1184192049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184192049
Entity Type Organization
Organization Name JAVID GHANDEHARI, MD, A CALIFORNIA MEDICAL CORPORATION
Practice Address 1328 22nd St
Santa Monica
CA 90404-2032
Mailing Address 150 W Civic Center Dr Ste 200
Sandy
UT 84070-4284
Practice Telephone 3108295511
Mailing Telephone 8888543822
Mailing Fax Number 7707016673
Enumeration Date 2018-11-08
Last Update Date 2018-11-08
Authorized Official Name JAVID GHANDEHARI (OWNER)
Authorized Official Telephone 2108456268
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1328 22ND ST
City SANTA MONICA
State CA
Zip Code 90404-2032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699763094 Laura D Alexander Anesthesiology 1328 22nd St, Department of Anesthesiology, Santa Monica, CA 90404-2032 2005-10-10
1376918938 Westside Neonatology Group Pediatrics 1328 22nd St, Santa Monica, CA 90404-2032 2015-12-08
1598143638 Diana Escobar Anesthesiology 1328 22nd St, Santa Monica, CA 90404-2032 2015-05-08
1679992713 Michelle Mahanian Oheb Anesthesiology 1328 22nd St, Santa Monica, CA 90404-2032 2014-04-15
1275977407 James Hyun-tae Kim Anesthesiology 1328 22nd St, Santa Monica, CA 90404-2032 2013-04-18
1003194200 Donald L Morton Md & Associates Medical Group Surgery 1328 22nd St, Santa Monica, CA 90404-2032 2011-07-22
1245542893 Westside Oncology PC Radiology 1328 22nd St, Santa Monica, CA 90404-2032 2010-07-12
1366753683 360 Mind Neurological Surgery 1328 22nd St, Santa Monica, CA 90404-2032 2010-07-01
1669799110 Yashar Ilkhchoui Anesthesiology 1328 22nd St, Santa Monica, CA 90404-2032 2010-04-23
1780901322 Victoria Lin Danhakl Anesthesiology 1328 22nd St, Santa Monica, CA 90404 2010-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306453352 Jasmine Burton Physical Therapist 1714 17th Street, Santa Monica, CA 90404 2020-09-24
1003431685 Cintia Haydee Ctibor Behavior Technician 1869 9th Street, Santa Monica, CA 90404 2020-06-10
1073137261 Sydney Kristine Valerio Counselor 1869 9th St, Santa Monica, CA 90404 2020-06-03
1710507082 James Gilbert Cunningham Marriage & Family Therapist 1708 Olympic Blvd, Santa Monica, CA 90404 2020-04-16
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Licensed Vocational Nurse 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477990224 Remedy Pain Solutions, Inc. Pain Medicine 2021 Santa Monica Blvd Ste 337e, Santa Monica, CA 90404-2146 2013-06-03
1083648547 Jeanne M Axler Pain Medicine 3205 Ocean Park Blvd Ste 250, Santa Monica, CA 90405-3240 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821752 Pacific Advanced Surgical Services Pain Medicine 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 2020-11-02
1376140152 Tania Faruque M.d. P.C. Pain Medicine 255 N Elm St Ste 101, Escondido, CA 92025-3431 2020-10-05
1578199147 Pinnacle Pain & Regenerative Medicine Inc Pain Medicine 24452 Health Center Dr, Laguna Hills, CA 92653-3604 2020-03-16
1396376745 Michael Truong, Md Pain Medicine 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 2020-02-03
1013554930 Algos Inc., A Medical Corporation Pain Medicine 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 2019-12-10
1649823964 Bolt Surgery Center, LLC Pain Medicine 1124 S Main St Ste 102, Corona, CA 92882-4449 2019-07-17
1730649799 Niamedic Bh PC Pain Medicine 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 2019-03-24
1174097612 Southern California Regenerative Medical Inc Pain Medicine 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 2019-01-17
1215404132 Haven Orthopedics & Spine Institute Inc Pain Medicine 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 2018-10-29
1700387347 Paul Kim Md Inc. Pain Medicine 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 2018-02-27
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Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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