PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP
NPI 1265435416
Specialist in San Luis Obispo, CA
About Pain Management Specialists Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP (NPI 1265435416), doing business as Interventional Pain Management, is a healthcare organization registered as a specialist in San Luis Obispo, California and active in the NPI registry since May 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2027 and lists Inna Gribanova, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pain Management Specialists Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Pain Management Specialists Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 31San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
San Luis Obispo, CA 93405
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 05D1087052
Pain Management Specialists · San Luis Obispo, CAFrequently 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 Pain Management Specialists Medical Group's NPI number?
The NPI number for Pain Management Specialists Medical Group is 1265435416. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider was formerly known as Interventional Pain Management.
Where is Pain Management Specialists Medical Group located?
Pain Management Specialists Medical Group is located at 10 Santa Rosa St Ste 201, San Luis Obispo, CA 93405. The listed phone number is (805) 782-8132.
What is Pain Management Specialists Medical Group's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Pain Management Specialists Medical Group enrolled in Medicare?
Yes. Pain Management Specialists Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pain Management Specialists Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 7 Medicare specialties reassign their Medicare billing to Pain Management Specialists Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (12), Nurse Practitioner (8) and Anesthesiology (4). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pain Management Specialists Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D1087052) is associated with this NPI, valid through March 8, 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 Pain Management Specialists Medical Group was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Pain Management Specialists Medical Group · NPI 1265435416
Specialist organization in San Luis Obispo, California. Organization record, active in the CMS NPPES registry since May 23, 2005.
## Identity
- **NPI:** 1265435416 (Entity type: Organization)
- **Enumerated:** May 23, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Inna Gribanova, MANAGER
## Practice location
- **Address:** 10 SANTA ROSA ST, STE 201, San Luis Obispo, CA 93405-5825
- **Phone:** (805) 782-8132 · **Fax:** (805) 597-8350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (12), Nurse Practitioner (8), Anesthesiology (4); 7 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1265435416/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2010
- **Other identifiers:** Medicaid GR0105740 (CA); Medicare PIN W18564 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265435416) · Data from the CMS NPPES public registry.