ADVANCED PAIN MEDICAL GROUP, INC (NPI# 1477097558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097558 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MEDICAL GROUP, INC |
| Practice Address |
201 S Buena Vista St Suite 300 Burbank CA 91505-4569 |
| Mailing Address |
7230 Medical Center Dr Suite 500 West Hills CA 91307-1907 |
| Practice Telephone | 8183487246 |
| Practice Fax Number | 8183487248 |
| Mailing Telephone | 8183487246 |
| Mailing Fax Number | 8183487248 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | DR. VIMAL SATYJIT LALA (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 8183487246 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168676 | Advanced Pain Medical Group, Inc | Pain Medicine | 100 Oceangate Ste P280, Long Beach, CA 90802-4390 | 2020-03-05 |
| 1356818736 | Advanced Pain Medical Group, Inc | Anesthesiology | 23206 Lyons Ave Ste 110, Santa Clarita, CA 91321-2671 | 2018-10-24 |
| 1275009656 | Advanced Pain Medical Group, Inc | Anesthesiology | 16055 Ventura Blvd Ste 444, Encino, CA 91436-2601 | 2018-10-23 |
| 1326589201 | Advanced Pain Medical Group, Inc | Anesthesiology | 2876 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1530 | 2017-03-13 |
| 1689115560 | Advanced Pain Medical Group, Inc | Anesthesiology | 625 N A St, Suite 300, Oxnard, CA 93030-4919 | 2017-03-13 |
| 1306380985 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 2876 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1530 | 2016-12-15 |
| 1740724822 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 625 N A St, Suite 300, Oxnard, CA 93030-4919 | 2016-12-08 |
| 1770027856 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 | 2016-12-08 |
| 1740724830 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 3008 Sillect Ave, Suite 100, Bakersfield, CA 93308-6340 | 2016-12-08 |
| 1598016784 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 7230 Medical Center Dr, Suite 500, West Hills, CA 91307-1907 | 2012-09-27 |
| Street Address |
201 S BUENA VISTA ST SUITE 300 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801301 | Bruce M Stark | Internal Medicine | 201 S Buena Vista St, Suite 300, Burbank, CA 91505-4569 | 2005-06-14 |
| 1124569009 | Advanced Pain Medical Group | Anesthesiology | 201 S Buena Vista St, Suite 300, Burbank, CA 91505-4569 | 2017-03-13 |
| 1598213969 | Elena Absalon | Physical Therapist | 201 S Buena Vista St, Suite 355, Burbank, CA 91505-4569 | 2016-09-14 |
| 1255721478 | Sarang Medical Corporation | Internal Medicine | 201 S Buena Vista St, Ste#250, Burbank, CA 91505-4569 | 2015-01-26 |
| 1306253687 | Pacific Accountable Care Network Inc | General Practice | 201 S Buena Vista St, Suite 425, Burbank, CA 91505-4569 | 2014-07-17 |
| 1881009108 | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | Pain Medicine | 201 S Buena Vista St, Suite 238, Burbank, CA 91505-4569 | 2014-06-25 |
| 1063845782 | Alexander S Tovar Md A Professional Corporation | Specialist | 201 S Buena Vista St, #425, Burbank, CA 91505-4569 | 2013-08-16 |
| 1487090973 | Michael George Wheeler | Podiatrist | 201 S Buena Vista St, Suite 305, Burbank, CA 91505-4569 | 2013-05-11 |
| 1477828671 | Kimberly Sinclair | Nurse Practitioner | 201 S Buena Vista St, Suite #425, Burbank, CA 91505-4569 | 2012-03-21 |
| 1366766180 | Beverly Radiology Medical Group | Radiology | 201 S Buena Vista St, Suite #315, Burbank, CA 91505-4569 | 2010-03-23 |
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|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356617948 | Burbank Podiatry Associates Group, A Professional Corporation | Non-Pharmacy Dispensing Site | 241 W Olive Ave, Burbank, CA 91502-1825 | 2012-03-28 |
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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| 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.