Provider Type Icon

HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC NPI 1619104569


NPI Information

NPI: 1619104569
Provider Name: HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2136655

Address:
18400 US HIGHWAY 18
SUITE A
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-3939
Get Directions

HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC is an interventional pain medicine pain medicine in Apple Valley, CA. The provider is 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. HIGH DESERT PAIN MANAGEMENT INSTITUTE LLC NPI is 1619104569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18400 US HIGHWAY 18
SUITE A
APPLE VALLEY, CA
ZIP 92307-306
Phone: (760) 242-3939
Fax: (760) 242-3232

The provider's authorized official is Mersedeh Karimian .
The authorized official title is President and has the following contact phone number (760) 242-3939.

The CLIA number assigned to this NPI record is 05D2136655 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine20A9115CALIFORNIANo
2208VP0014XPain MedicineInterventional Pain Medicine20A9115CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CU199AMEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.