SAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC.
NPI 1124004114
Pain Medicine - Interventional Pain Medicine in Arcadia, CA

Q: What is San Dimas Pain Management Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since December 21, 2005

125 WHEELER AVE, SUITE C, ARCADIA, CA 91006(626) 294-4866(626) 294-4872 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About San Dimas Pain Management Medical Center Inc. NPPES

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

SAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC. (NPI 1124004114) is a healthcare organization registered as an interventional pain medicine in Arcadia, California and active in the NPI registry since December 2005. The organization lists Bernadette A Clifford, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1124004114

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC.

Location Address125 WHEELER AVE, SUITE CArcadia, CA 91006-3220

Mailing Address125 Wheeler Ave, Suite CArcadia, CA 91006-3220 · (626) 294-4866 · Fax (626) 294-4872

Phone(626) 294-4866

Fax(626) 294-4872

Organization SubpartNo

Authorized OfficialBernadette A CliffordChief Operating Officer · (626) 294-4866

Enumeration DateDecember 21, 2005

Last NPPES UpdateMarch 13, 2023

NPPES CertifiedMarch 13, 2023

✔ NPI 1124004114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in CA · A53113

Definition

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.

125 WHEELER AVE, Arcadia, CA 91006

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Dimas Pain Management Medical Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20050711000890Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to San Dimas Pain Management Medical Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Madanat, M.D.

Physical Medicine and Rehabilitation

NPI 1851571020

125 WHEELER AVE SUITE C
Arcadia, CA 91006

(626) 294-4866

✔ PECOS✔ Accepts MedicareSame address

Nabil Dahi, MD

Interventional Pain Management

NPI 1639369697

301 W HUNTINGTON DRIVE SUITE 215
Arcadia, CA 91007

(626) 294-4866

✔ PECOS1.0 mi

John Bohm, M.D.

Anesthesiology

NPI 1992771604

120 W COLE BLVD STE B
Calexico, CA 92231

(760) 890-0190

✔ PECOS✔ Accepts Medicare177 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Dimas Pain Management Medical Center Inc.'s NPI number?

The NPI number for San Dimas Pain Management Medical Center Inc. is 1124004114. It was assigned to this organization in the NPPES registry on December 21, 2005.

Where is San Dimas Pain Management Medical Center Inc. located?

San Dimas Pain Management Medical Center Inc. is located at 125 Wheeler Ave Suite C, Arcadia, CA 91006. The listed phone number is (626) 294-4866.

What is San Dimas Pain Management Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is San Dimas Pain Management Medical Center Inc. enrolled in Medicare?

Yes. San Dimas Pain Management Medical Center Inc. is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for San Dimas Pain Management Medical Center Inc. was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.