INTERDISCIPLANARY PAIN MANAGEMENT (NPI# 1992888994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992888994 |
| Entity Type | Organization |
| Organization Name | INTERDISCIPLANARY PAIN MANAGEMENT |
| Practice Address |
819 Auto Center Drive Palmdale CA 93551 |
| Practice Telephone | 6612676876 |
| Practice Fax Number | 6615389438 |
| Mailing Telephone | 6612676876 |
| Mailing Fax Number | 6615389438 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | MR. LANCE JACKSON (CEO) |
| Authorized Official Telephone | 6612676876 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 177F00000X | Lodging | Other Service Providers |
| Street Address |
819 AUTO CENTER DRIVE |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329520 | Ray H Damours | Specialist | 819 Auto Center Drive, Palmdale, CA 93551 | 2005-10-11 |
| 1912080953 | Integrated Rehabilitation Medical Corp | Specialist | 819 Auto Center Drive, Palmdale, CA 93551 | 2006-10-23 |
| 1750379947 | Francis X Riegler | Specialist | 819 Auto Center Drive, Palmdale, CA 93551 | 2005-10-11 |
| 1801884093 | Shahin Abraham Sadik | Specialist | 819 Auto Center Drive, Palmdale, CA 93551 | 2005-10-11 |
| 1427046655 | Universal Pain Management Medical Corporation | Specialist | 819 Auto Center Drive, Palmdale, CA 93551-4599 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526944 | Family House, Inc. | Lodging | 540 Mission Bay Blvd N, San Francisco, CA 94158-2382 | 2020-10-22 |
| 1548887755 | Comfortmavens Group, Inc. | Lodging | 2307 W 231st St, Torrance, CA 90501-5214 | 2020-07-03 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1013499912 | California Manor Guest Home | Lodging | 8536 California Ave, Riverside, CA 92504-2854 | 2018-09-06 |
| 1235610551 | Lilibeth Swanson | Lodging | 720 N Linden Ave, Rialto, CA 92376-4635 | 2018-08-24 |
| 1881188662 | Vermontcare Center | Lodging | 1316 S Vermont, Los Angeles, CA 90006-4502 | 2018-06-15 |
| 1871097154 | Love Home Inc. | Lodging | 1731 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-21 |
| 1093219545 | Love Home Inc. | Lodging | 1729 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-20 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
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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.