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PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER
NPI 1063511475
Anesthesiology - Pain Medicine in Thousand Oaks, CA

Active since September 22, 2006CLIA 05D2054794 · Waiver
1120 NEWBURY RD # 150, THOUSAND OAKS, CA 91320(805) 557-0096(805) 557-7360 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Management & Injury Relief Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER (NPI 1063511475) is a healthcare organization registered as a pain medicine in Thousand Oaks, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Alexander P Hersel, Owner, as its authorized official.

NPPES Registry Identity

NPI1063511475
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameALEXANDER P. HERSEL, M.D., INC
Location Address1120 NEWBURY RD # 150Thousand Oaks, CA 91320-3663
Mailing Address415 Rolling Oaks Dr, 110Thousand Oaks, CA 91361-1029 · (805) 557-0096 · Fax (805) 557-7360
Phone(805) 557-0096
Fax(805) 557-7360
Organization SubpartNo
Authorized OfficialAlexander P HerselOwner · (805) 367-7522
Enumeration DateSeptember 22, 2006
Last NPPES UpdateApril 9, 2019
✔ NPI 1063511475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A79277
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A79277 (CA)
1120 NEWBURY RD # 150, Thousand Oaks, CA 91320
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Other Names 1

Doing Business AsPain Management & Injury Relief Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2054794

Pain Management & Injury Relief Medical Center Thousand Oaks · Thousand Oaks, CA
Active · expires Feb 26, 2027
CLIA Number05D2054794
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorAlex P. Hersel
Laboratory Phone(805) 557-0069
Laboratory LocationPain Management & Injury Relief Medical Center Thousand Oaks1120 Newbury Road Suite 150, Thousand Oaks, CA 91320
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander P. Hersel, M.D., Inc's NPI number?

The NPI number for Alexander P. Hersel, M.D., Inc is 1063511475. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is doing business as Pain Management & Injury Relief Medical Center.

Where is Alexander P. Hersel, M.D., Inc located?

Alexander P. Hersel, M.D., Inc is located at 1120 Newbury Rd # 150, Thousand Oaks, CA 91320. The listed phone number is (805) 557-0096.

What is Alexander P. Hersel, M.D., Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Alexander P. Hersel, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2054794) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alexander P. Hersel, M.D., Inc was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.