SOUTHERN CALIFORNIA PAIN CONSULTANTS INC (NPI# 1013268069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013268069 |
Entity Type | Organization |
Organization Name | SOUTHERN CALIFORNIA PAIN CONSULTANTS INC |
Practice Address |
4201 Torrance Blvd Suite 590 Torrance CA 90503-4536 |
Mailing Address |
Po Box 2129 Palos Verdes Peninsula CA 90274-8129 |
Practice Telephone | 3105409888 |
Practice Fax Number | 3105400444 |
Mailing Telephone | 3105409888 |
Mailing Fax Number | 3105400444 |
Enumeration Date | 2012-09-28 |
Last Update Date | 2020-05-13 |
Authorized Official Name | KENNETH STERLING BRADLEY, M.D. (CEO, PRESIDENT) |
Authorized Official Telephone | 3105409888 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A109016 | CA | Allopathic & Osteopathic Physicians |
N | 207L00000X | Anesthesiology | G82005 | CA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A109016 | CA | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G82005 | CA | Allopathic & Osteopathic Physicians |
Street Address |
4201 TORRANCE BLVD SUITE 590 |
City | TORRANCE |
State | CA |
Zip Code | 90503-4536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265499 | William C. Kim, Md Inc | Specialist | 4201 Torrance Blvd, Ste 190, Torrance, CA 90503-4539 | 2005-06-16 |
1295271179 | Scpc Surgery Center | Clinic/Center | 4201 Torrance Blvd, Ste 590, Torrance, CA 90503-4504 | 2017-01-16 |
1992255335 | John P. Ducar, D.d.s., Inc | Dentist | 4201 Torrance Blvd, Suite 450, Torrance, CA 90503-4504 | 2016-10-10 |
1760932131 | Aj Pharmacy, Inc. | Pharmacy | 4201 Torrance Blvd, Suite 210, Torrance, CA 90503-4537 | 2016-10-10 |
1245602796 | Mehta Ortho Md Inc | Orthopaedic Surgery | 4201 Torrance Blvd, 310, Torrance, CA 90503-4504 | 2015-10-23 |
1740670298 | Sunny Sky Beltran | Hearing Instrument Specialist | 4201 Torrance Blvd, Suite 140, Torrance, CA 90503-4500 | 2015-02-04 |
1376962597 | Ram Dandillaya, M.d., Inc. | Internal Medicine | 4201 Torrance Blvd, Suite 790, Torrance, CA 90503 | 2014-04-15 |
1922422930 | Valley Cardiology and Vascular Associates Inc | Internal Medicine | 4201 Torrance Blvd, 750, Torrance, CA 90503-4504 | 2014-02-11 |
1194065078 | Eo Johnson, California Dental Corporation | Dentist | 4201 Torrance Blvd, Suite 420, Torrance, CA 90503-4504 | 2013-02-28 |
1750628715 | Sunila Fuster Md A Professional Corp. | General Practice | 4201 Torrance Blvd, Ste. 530, Torrance, CA 90503-4504 | 2013-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
Find all providers in zip 90503 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174800452 | Revivex Healthcare Inc | Pain Medicine | 23510 Crenshaw Blvd Ste 100, Torrance, CA 90505-5203 | 2011-11-15 |
1518051408 | Rebecca Kerr | Pain Medicine | 4305 Torrance Blvd Ste 500, Torrance, CA 90503-4405 | 2006-10-03 |
1700298601 | Vitality Medical Institute, Inc. | Pain Medicine | 3661 Torrance Blvd Ste 201, Torrance, CA 90503-4884 | 2014-05-27 |
1184058901 | Pipmc | Pain Medicine | 22910 Crenshaw Blvd, Ste A, Torrance, CA 90505-3060 | 2013-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
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.