DR. JAN PAUL MADDOX M.D.
NPI 1699770974
Pain Medicine - Interventional Pain Medicine in Riverside, CA

Active since June 14, 2005
4500 BROCKTON AVE, STE 305, RIVERSIDE, CA 92501(951) 715-3963(951) 715-3960 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jan Paul Maddox M.d. NPPES

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

DR. JAN PAUL MADDOX M.D. (NPI 1699770974) is an individual interventional pain medicine provider in Riverside, California, licensed in California (A26683) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1699770974
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. JAN PAUL MADDOXCredential: M.D.
Location Address4500 BROCKTON AVE, STE 305Riverside, CA 92501-4028
Mailing AddressPo Box 1509Riverside, CA 92502-1509 · (951) 715-3963 · Fax (951) 715-3960
Fax(951) 715-3960
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateNovember 19, 2007
NPI 1699770974 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 · A26683
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.
4500 BROCKTON AVE, Riverside, CA 92501

Other Identifiers 5

Other00A320460CA · Medi-cal
OtherZZZ05981ZCA · Blue Shield Id
Medicare ID-Type UnspecifiedZZZ23642ZCA
Medicare PIN00A320462
Medicare UPINA26683

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
4500 BROCKTON AVE, SUITE 219
RIVERSIDE, CA 92501
Urology
4500 BROCKTON AVE, SUITE 301
RIVERSIDE, CA 92501
Internal Medicine (Cardiovascular Disease)
4500 BROCKTON AVE, STE 203
RIVERSIDE, CA 92501
Surgery (Trauma Surgery)
4500 BROCKTON AVE
RIVERSIDE, CA 92501
Obstetrics & Gynecology
4500 BROCKTON AVE, SUITE 315
RIVERSIDE, CA 92501
Radiology (Radiation Oncology)
4500 BROCKTON AVE, 101
RIVERSIDE, CA 92501
Nurse Practitioner (Family)
4500 BROCKTON AVE, SUITE 315
RIVERSIDE, CA 92501
Internal Medicine
4500 BROCKTON AVE, SUITE 306
RIVERSIDE, CA 92501

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 Jan Maddox's NPI number?

The NPI number for Jan Maddox is 1699770974. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Jan Maddox located?

Jan Maddox practices at 4500 Brockton Ave Ste 305, Riverside, CA 92501. The listed phone number is (951) 715-3963.

What is Jan Maddox's specialty?

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

When was this NPI record last updated?

The NPPES record for Jan Maddox was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.