KETAMINE AMERICA LLC NPI 1053985986

NPI Information

  • NPI: 1053985986
  • Provider Name: KETAMINE AMERICA LLC
  • Classification: Pain Medicine - 208VP0000X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 4838 E BASELINE RD STE 110
    MESA, AZ
    ZIP 85206
  • Phone: (480) 426-0767

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NPI Details

KETAMINE AMERICA LLC is a pain medicine pain medicine in Mesa, AZ. The provider is 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. KETAMINE AMERICA LLC NPI is 1053985986. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4838 E BASELINE RD STE 110
MESA, AZ
ZIP 85206-674
Phone: (480) 426-0767
Fax: (480) 436-6611

The provider's authorized official is David A Warkentin .
The authorized official title is Ceo/owner and has the following contact phone number (310) 770-6368.

The enumeration date for this NPI number is 5/15/2021 and was last updated on 5/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2207RA0401XInternal MedicineAddiction MedicineNo
32084A0401XPsychiatry & NeurologyAddiction MedicineNo
42084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
5208VP0000XPain MedicinePain MedicineYes
6208VP0014XPain MedicineInterventional Pain MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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