INTERVENTIONAL PAIN MANAGEMENT (NPI# 1972640548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972640548 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN MANAGEMENT |
| Other Organization Name | INTERVENTIONAL PAIN MANAGEMENT MEDICAL GROUP INC. |
| Practice Address |
16311 Ventura Blvd #1280 Encino CA 91436-2124 |
| Mailing Address |
Po Box 3129 Torrance CA 90510-3129 |
| Practice Telephone | 7607728357 |
| Practice Fax Number | 7607728406 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 8558984055 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | PAUL RODRICKS (PRESIDENT) |
| Authorized Official Telephone | 8189814482 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G84064 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| INTERVENTIONAL PAIN MANAGEMENT MEDICAL GROUP INC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351923 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 2421 Corporate Ctr Ste 105, Granite City, IL 62040-4195 | 2018-10-02 |
| 1043795354 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 5000 Cedar Plaza Pkwy Ste 230, Saint Louis, MO 63128-3859 | 2018-10-02 |
| 1245667914 | Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 261 Dunn Rd, Florissant, MO 63031-7928 | 2013-09-26 |
| 1215153101 | Interventional Pain Management | Specialist | 5225 Katy Fwy, 105, Houston, TX 77007-2264 | 2007-04-18 |
| 1710018247 | Interventional Pain Management | Pain Medicine | 261 Dunn Rd, Florissant, MO 63031-7928 | 2007-03-08 |
| 1144231473 | Interventional Pain Management | Specialist | 601 E Church St, Elmira, NY 14901-2809 | 2006-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INTERVENTIONAL PAIN MANAGEMENT | 13700 Fielding Rd, Lake Oswego, OR 97034 |
| Vermont Business Registrations | INTERVENTIONAL PAIN MANAGEMENT AND ANESTHESIA | 530 Washington Highway, Suite 1, Morrisville, VT 05661 |
| System for Award Management (SAM) Entities | INTERVENTIONAL PAIN MANAGEMENT LLC | 504 Legacy Plz W, La Porte, IN 46350-5254 |
| New York State Corporations | INTERVENTIONAL PAIN MANAGEMENT P.C. | 3848 Park Avenue, Ste 101, Edison, Nj 08820 |
| New York State Corporations | INTERVENTIONAL PAIN MANAGEMENT SERVICES, PLLC | 1940 Commerce Street, Suite 212, Yorktown Heights, Ny 10598 |
| Colorado Business Entities | INTERVENTIONAL PAIN MANAGEMENT SPECIALISTS, PLLC, A PROFESSIONAL LIMITED LIABILITY COMPANY | 1120 Wellington Ave, Suite 206, Grand Junction, CO 81501 |
| Colorado Business Entities | INTERVENTIONAL PAIN MANAGEMENT, LLC | 3010 N Circle Dr Ste 202, Colorado Springs, CO 80909 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-HOBART, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-LAPORTE, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Indiana Business Entities | INTERVENTIONAL PAIN MANAGEMENT-VALPO, LLC | 204 Legacy Plaza West, Laporte, IN 46350 |
| Street Address |
16311 VENTURA BLVD #1280 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902792 | Jeffrey D Goss | Podiatrist | 16311 Ventura Blvd, Ste 630, Encino, CA 91436-4318 | 2005-06-17 |
| 1124479084 | Bryan E Chan Md Inc | Anesthesiology | 16311 Ventura Blvd, Suite #1010, Encino, CA 91436-2124 | 2016-06-22 |
| 1215392238 | John J Cho | Dentist | 16311 Ventura Blvd, Suite 527, Encino, CA 91436-2124 | 2015-12-17 |
| 1184098337 | Hope Surgery Center, Inc. | Clinic/Center | 16311 Ventura Blvd, Suite 1015, Encino, CA 91436-2124 | 2015-11-25 |
| 1699156547 | Saravanan Ram Dds Inc. | Clinic/Center | 16311 Ventura Blvd, Ste 1250, Encino, CA 91436-2124 | 2015-06-17 |
| 1073900817 | Daniel J. Cosgrove, M.d. Inc. | Urology | 16311 Ventura Blvd, Ste. 800, Encino, CA 91436-2124 | 2015-04-20 |
| 1124425855 | Hearing and Balance Center Inc | Audiologist | 16311 Ventura Blvd, Suite 841, Encino, CA 91436-2124 | 2014-11-24 |
| 1649683012 | Unity E Medical Clinic, Inc. | Specialist | 16311 Ventura Blvd, Suite 1210, Encino, CA 91436-2124 | 2014-06-03 |
| 1619394830 | Stanley J. Leiken, Md Inc. | Clinic/Center | 16311 Ventura Blvd, 1050, Encino, CA 91436-2124 | 2014-03-26 |
| 1801223391 | Dr. Julian Zhitnitsky's Dental Care, Inc. | Dentist | 16311 Ventura Blvd, Suite 907, Encino, CA 91436-2124 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275009656 | Advanced Pain Medical Group, Inc | Anesthesiology | 16055 Ventura Blvd Ste 444, Encino, CA 91436-2601 | 2018-10-23 |
| 1467944934 | Aalap C Shah Md Inc | Anesthesiology | 16311 Ventura Blvd Ste 1010, Encino, CA 91436-4345 | 2018-05-31 |
| 1083006928 | Encino Anesthesia Associates Inc | Anesthesiology | 5353 Balboa Blvd, Ste 300, Encino, CA 91316-2804 | 2015-03-02 |
| 1326243015 | Mahyar Ganjianpour Do A Professional Corporation | Anesthesiology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2007-06-20 |
| 1518174945 | Robert Ming Md A Medical Corp | Anesthesiology | 5400 Balboa Blvd, Ste. #111, Encino, CA 91316-1502 | 2007-05-16 |
| 1912128323 | Charles K Neal, Md Inc | Anesthesiology | 16311 Ventura Blvd, Ste 705, Encino, CA 91436-2124 | 2007-05-01 |
| 1285771360 | Paul Rodricks | Anesthesiology | 16311 Ventura Blvd, #1280, Encino, CA 91436-2124 | 2007-01-30 |
| 1235221417 | Charles Kenneth Neal | Anesthesiology | 16311 Ventura Blvd, Suite# 705, Encino, CA 91436-2124 | 2006-09-28 |
| 1699780437 | Norman Levin, M.d., A Professional Corporation | Anesthesiology | 5400 Balboa Blvd, Ste.# 111, Encino, CA 91316-1502 | 2006-07-30 |
| 1154357010 | Jeffrey B Glaser | Anesthesiology | 16311 Ventura Blvd, Suite #518, Encino, CA 91436-2124 | 2006-06-23 |
| Find all providers in ENCINO | ||||
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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.