PHOENIX PAIN MEDICINE
NPI 1124194576
Specialist in Hermosa Beach, CA

Q: What is Mary Jo Ford MD Inc's NPI number?

The NPI number for Mary Jo Ford MD Inc is 1124194576. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Phoenix Pain Medicine.

Q: What is Mary Jo Ford MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 28, 2006

555 PIER AVENUE, SUITE 1, HERMOSA BEACH, CA 90254(310) 374-4100(310) 374-4111 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phoenix Pain Medicine NPPES

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

PHOENIX PAIN MEDICINE (NPI 1124194576) is a healthcare organization registered as a specialist in Hermosa Beach, California and active in the NPI registry since November 2006. The organization lists Mary Jo Ford, President, as its authorized official.

NPPES Registry Identity

NPI1124194576

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMARY JO FORD MD INC

Location Address555 PIER AVENUE, SUITE 1Hermosa Beach, CA 90254-3800

Mailing Address555 Pier Avenue, Suite 1Hermosa Beach, CA 90254-3800 · (310) 374-4100 · Fax (310) 374-4111

Phone(310) 374-4100

Fax(310) 374-4111

Organization SubpartNo

Authorized OfficialMary Jo FordPresident · (310) 374-4100

Enumeration DateNovember 28, 2006

Last NPPES UpdateMay 29, 2013

✔ NPI 1124194576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G73858

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

555 PIER AVENUE, Hermosa Beach, CA 90254

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Other Names 1

Doing Business AsPhoenix Pain Medicine

Other Identifiers 1

Medicare UPINE95002CA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY JO FORD MD

Specialist

555 PIER AVENUE, SUITE 1
HERMOSA BEACH, CA 90254

Los Angeles County (310) 374-4100

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 Mary Jo Ford MD Inc's NPI number?

The NPI number for Mary Jo Ford MD Inc is 1124194576. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Phoenix Pain Medicine.

Where is Mary Jo Ford MD Inc located?

Mary Jo Ford MD Inc is located at 555 Pier Avenue Suite 1, Hermosa Beach, CA 90254. The listed phone number is (310) 374-4100.

What is Mary Jo Ford MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Jo Ford MD Inc was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.