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DR. JAN PAUL MADDOX M.D. NPI 1699770974


NPI Information

NPI: 1699770974
Provider Name: DR. JAN PAUL MADDOX, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
4500 BROCKTON AVE
STE 305
RIVERSIDE, CA
ZIP 92501
Phone: (951) 715-3963
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DR. Jan Paul Maddox, M.D. is an interventional pain medicine pain medicine in Riverside, 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. DR. Jan Paul Maddox, M.D. NPI is 1699770974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 BROCKTON AVE
STE 305
RIVERSIDE, CA
ZIP 92501-028
Phone: (951) 715-3963
Fax: (951) 715-3960

The enumeration date for this NPI number is 6/14/2005 and was last updated on 11/19/2007.


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
1208VP0014XPain MedicineInterventional Pain MedicineA26683CALIFORNIAYes

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
100A320460OTHERCALIFORNIAMEDI-CAL
2ZZZ05981ZOTHERCALIFORNIABLUE SHIELD ID
3ZZZ23642ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
400A320462MEDICARE PIN
5A26683MEDICARE UPIN

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

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