AUGUSTA UAYEMEN IKHISEMOJIE


Address: 6485 Day St Ste 305, Riverside, CA 92507
Phone: 9514136433

AUGUSTA UAYEMEN IKHISEMOJIE (NPI# 1457389041) 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) 1457389041
Entity Type Individual
Full Name AUGUSTA UAYEMEN IKHISEMOJIE
Credential M.D.
Practice Address 6485 Day St Ste 305
Riverside
CA 92507
Mailing Address Po Box 60790
Pasadena
CA 91116-6790
Practice Telephone 9514136433
Practice Fax Number 9514136633
Mailing Telephone 6267956596
Mailing Fax Number 7707016655
Enumeration Date 2006-06-30
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171100000X Acupuncturist CA Other Service Providers
N 207L00000X Anesthesiology A67133 CA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine P1462 TX Allopathic & Osteopathic Physicians
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
A67133 CA Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
P1462 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD 00A671330 01
CA 00A671330 05
TX MEDICARE ID - TYPE UNSPECIFIED P1462 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3540 Wilshire Blvd Ste 915, Los Angeles, CA 900102353 3103820803 3102761688

Office Location

Street Address 6485 DAY ST STE 305
City RIVERSIDE
State CA
Zip Code 92507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154412963 Augusta U. Ikhisemojie, M.d., A Professional Medical Corporation Acupuncturist 6485 Day St Ste 305, Riverside, CA 92507-0926 2006-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448917 Rachel Nielson Counselor 1450 Spruce St, Suite A, Riverside, CA 92507 2020-08-24
1437769742 Pakravan, Manavi & Cohen Dental Corporation Dentist 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 2020-08-03
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1164067567 Audrey Gruen Social Worker Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 2019-11-10
1518432962 Antonio Mixon Specialist 1405 Spruce Street, Suite A, Riverside, CA 92507 2018-10-11
1811479793 New Day Counseling Services Counselor 20363 Harvard Way, Riverside, CA 92507 2018-09-06
1780176875 Miriam Martinez Case Manager/Care Coordinator 2085 Rustin Ave., Riverside, CA 92507 2018-06-04
1518478874 Lisa Manuel Counselor 2058 Rustin Ave, Riverside, CA 92507 2017-10-13
1497272942 Yajaira Placensia Behavioral Analyst 1486 Everton Place, Riverside, CA 92507 2017-08-25
1841717691 Stephanie Teuchert Behavioral Analyst 1080 Spruce Street Apartment 7c, Riverside, CA 92507 2017-08-23
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821752 Pacific Advanced Surgical Services Pain Medicine 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 2020-11-02
1376140152 Tania Faruque M.d. P.C. Pain Medicine 255 N Elm St Ste 101, Escondido, CA 92025-3431 2020-10-05
1578199147 Pinnacle Pain & Regenerative Medicine Inc Pain Medicine 24452 Health Center Dr, Laguna Hills, CA 92653-3604 2020-03-16
1396376745 Michael Truong, Md Pain Medicine 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 2020-02-03
1013554930 Algos Inc., A Medical Corporation Pain Medicine 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 2019-12-10
1649823964 Bolt Surgery Center, LLC Pain Medicine 1124 S Main St Ste 102, Corona, CA 92882-4449 2019-07-17
1730649799 Niamedic Bh PC Pain Medicine 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 2019-03-24
1174097612 Southern California Regenerative Medical Inc Pain Medicine 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 2019-01-17
1215404132 Haven Orthopedics & Spine Institute Inc Pain Medicine 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 2018-10-29
1700387347 Paul Kim Md Inc. Pain Medicine 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 2018-02-27
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Competitor

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City RIVERSIDE
Zip Code 92507

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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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