ADVANCE COMPREHENSIVE PAIN CARE INC (NPI# 1114383080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114383080 |
| Entity Type | Organization |
| Organization Name | ADVANCE COMPREHENSIVE PAIN CARE INC |
| Practice Address |
12712 Heacock St Suite 9a Moreno Valley CA 92553 |
| Mailing Address |
11501 Bari Dr Rancho Cucamonga CA 91701-8537 |
| Practice Telephone | 9512087700 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2018-06-22 |
| Authorized Official Name | MUNISH LOOMBA (CHIEF OF CLINIC) |
| Authorized Official Telephone | 9512087700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
C136636 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12712 HEACOCK ST SUITE 9A |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093103 | Lajean Avon Forbes | Nurse Practitioner | 12712 Heacock St, Suite 7, Moreno Valley, CA 92553-3037 | 2006-10-31 |
| 1235464777 | Whitney Wilczynski | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2009-10-15 |
| 1508095712 | Rose Ellen Swim | Marriage & Family Therapist | 12712 Heacock St, Suite 2, Moreno Valley, CA 92553-3037 | 2009-07-09 |
| 1295998409 | Gateway Counseling Cneter | Voluntary or Charitable | 12712 Heacock St, Moreno Valley, CA 92553-3037 | 2008-07-08 |
| 1891964805 | Michelle Hall Bertok | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1700055712 | Kristina Marie Trauth | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1023292158 | Vicki Kodad | Counselor | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-12-26 |
| 1306025291 | Kevin Keith | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-10-29 |
| 1679760599 | Christian Avery Peters | Marriage & Family Therapist | 12712 Heacock St, Suite 9-b, Moreno Valley, CA 92553-3037 | 2007-09-25 |
| 1578759460 | Michelle Drusilla Maisel | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.