SDPM MEDICAL GROUP, INCORPORATED


Address: 9850 Genesee Ave Ste 820, La Jolla, CA 92037-1219
Phone: 8584545442

SDPM MEDICAL GROUP, INCORPORATED (NPI# 1821640145) 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) 1821640145
Entity Type Organization
Organization Name SDPM MEDICAL GROUP, INCORPORATED
Other Organization Name SAN DIEGO PAIN MANAGEMENT
Practice Address 9850 Genesee Ave Ste 820
La Jolla
CA 92037-1219
Mailing Address Po Box 221048
San Diego
CA 92192-1048
Practice Telephone 8584545442
Practice Fax Number 8584314633
Mailing Telephone 8583950309
Mailing Fax Number 8584529027
Enumeration Date 2019-07-16
Last Update Date 2020-01-07
Authorized Official Name ROBERT LEE WAGNER JR. (PRESIDENT)
Authorized Official Telephone 8584545442
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
San Diego Pain Management Doing Business As Name - Organization

Office Location

Street Address 9850 GENESEE AVE STE 820
City LA JOLLA
State CA
Zip Code 92037-1219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720094055 Robert Lee Wagner Jr. Anesthesiology 9850 Genesee Ave Ste 820, La Jolla, CA 92037-1219 2006-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982221768 Equip Health Medical, PC Clinic/Center 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 2020-06-29
1134745474 Brenda Kay Wiederhold Psychologist Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 2020-06-23
1316581598 Kathleen M Blechertas Physical Therapist 9888 Genesee, Lj19, La Jolla, CA 92037 2019-10-31
1316592876 Kevin Yanyan Li Student in an Organized Health Care Education/Training Program 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 2019-08-01
1407400542 Juan J Salmeron Dentist Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 2019-07-26
1609428598 Nicole Whitney Mark Physician Assistant 8103 Caminito Sonoma, La Jolla, CA 92037 2019-07-11
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
Find all providers in zip 92037

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720094055 Robert Lee Wagner Jr. Anesthesiology 9850 Genesee Ave Ste 820, La Jolla, CA 92037-1219 2006-07-31
1891719233 Gregory R Polston Anesthesiology 3600 Gilman Dr, Ucsd Department of Anesthesiology, La Jolla, CA 92093-0801 2006-07-27
1689018228 Lars R. Newsome, M.d., Inc. Anesthesiology 4130 La Jolla Village Dr Ste 300, La Jolla, CA 92037-1481 2013-04-25
1669769980 Joseph Shurman Md Integrative Pain Management Inc Anesthesiology 9834 Genesee Ave Ste 427, La Jolla, CA 92037-1264 2011-07-07
1205010030 Imanuel Ruvin Lerman Anesthesiology 9300 Campus Point Dr, La Jolla, CA 92037-1300 2007-12-28
1972685949 Wade Wong Anesthesiology 9300 Campus Point Dr, 7756, La Jolla, CA 92037 2006-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912512567 Clinicas Del Valle, Inc Anesthesiology 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 2020-09-10
1609489418 Cyrus Dadachanji Md Inc. Anesthesiology 34762 Midland Ave, Murrieta, CA 92563-8419 2020-08-31
1962050401 Sky Anesthesia Inc. Anesthesiology 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 2019-08-28
1932671856 North County Pain Institute Anesthesiology 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 2018-12-18
1285101824 16th Street Anesthesia Services Corp Anesthesiology 2323 16th St Ste 507, Bakersfield, CA 93301-3454 2018-11-01
1033697305 Heyer Anesthesia PC Anesthesiology 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 2018-07-30
1982190229 Algos Inc., A Medical Corporation Anesthesiology 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 2018-07-10
1093200610 Kevin Dinh Trinh, Md Inc. Anesthesiology 100 Fieldwood, Irvine, CA 92618 2018-06-26
1033616644 Howard Siegel Md Inc Anesthesiology 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 2018-04-10
1780198952 Unified Physician Associates Inc Anesthesiology 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 2017-11-27
Find all providers with the same taxonomy

Competitor

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City LA JOLLA
Zip Code 92037

Improve Information

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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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