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FOOTHILLS PAIN MANAGEMENT CLINIC PC
NPI 1487885372
Pain Medicine - Interventional Pain Medicine in Covina, CA

Active since July 27, 2009CLIA Certified · 2 labs
236 W COLLEGE ST, COVINA, CA 91723(626) 608-7320(626) 608-7322 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jun 18, 2020 (2 updates tracked since 2020).

About Foothills Pain Management Clinic Pc NPPES

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

FOOTHILLS PAIN MANAGEMENT CLINIC PC (NPI 1487885372) is a healthcare organization registered as an interventional pain medicine in Covina, California and active in the NPI registry since July 2009. The organization holds 2 active CLIA laboratory certificates and lists Hetal Mehta, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487885372
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameFOOTHILLS PAIN MANAGEMENT CLINIC PC
Location Address236 W COLLEGE STCovina, CA 91723-1902
Mailing AddressPo Box 209Covina, CA 91723-0209 · (626) 608-7320 · Fax (626) 608-7322
Phone(626) 608-7320
Fax(626) 608-7322
Organization SubpartNo
Authorized OfficialHetal MehtaAdministrator · (626) 608-7320
Enumeration DateJuly 27, 2009
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1487885372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License C52522 (CA)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
236 W COLLEGE ST, Covina, CA 91723
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CLIA Laboratory Certificates CMS CLIA 2

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 05D1103862

Foothills Pain Management Clinic · Covina, CA
Active · expires Aug 18, 2027
CLIA Number05D1103862
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDharmesh S. Mehta
Laboratory Phone(626) 608-7320
Laboratory LocationFoothills Pain Management Clinic236 W College St, Covina, CA 91723
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2087014

Foothills Pain Management Clinic PC · Rancho Cucamonga, CA
Active · expires Nov 13, 2026
CLIA Number05D2087014
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDharmesh Mehta
Laboratory Phone(626) 608-7320
Laboratory LocationFoothills Pain Management Clinic PC9120 Haven Ave, Ste 202, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DHARMESH MEHTA MD
Pain Medicine (Interventional Pain Medicine)
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 608-7320
JESSICA KUO MD
Anesthesiology (Pain Medicine)
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 608-7320
ROSALYNE LEONG PA-C
Physician Assistant (Medical)
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 938-1080
JOANNA ACOSTA
Physician Assistant
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 608-7320
JAMES KIM M.D.
Pain Medicine (Interventional Pain Medicine)
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 608-7320
AUSTIN CHANG
Physician Assistant
236 W COLLEGE ST
COVINA, CA 91723
Los Angeles County (626) 608-7320

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 Foothills Pain Management Clinic PC's NPI number?

The NPI number for Foothills Pain Management Clinic PC is 1487885372. It was assigned to this organization in the NPPES registry on July 27, 2009.

Where is Foothills Pain Management Clinic PC located?

Foothills Pain Management Clinic PC is located at 236 W College St, Covina, CA 91723. The listed phone number is (626) 608-7320.

What is Foothills Pain Management Clinic PC's specialty?

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

Does Foothills Pain Management Clinic PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Foothills Pain Management Clinic PC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.