SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
NPI 1770292807
Physical Medicine & Rehabilitation - Pain Medicine in El Centro, CA
NPI Status: Active since November 17, 2022
Contact Information
626 W MAIN ST
EL CENTRO, CA
ZIP 92243
Phone: (760) 482-5931
Fax: (760) 482-5936
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 05D1039608
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-18-2025
About SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
This page provides the complete NPI Profile along with additional information for San Diego Comprehensive Pain Management Center, Inc, a provider established in El Centro, California operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1770292807 assigned on November 2022. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. David J Smith Md (Owner)
- NPI
- 1770292807
- Provider Name
- SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
- Entity Type
- Organization
- Location Address
- 626 W MAIN ST EL CENTRO, CA 92243
- Location Phone
- (760) 482-5931
- Location Fax
- (760) 482-5936
- Mailing Address
- 3703 CAMINO DEL RIO S STE 210 SAN DIEGO, CA 92108
- Mailing Phone
- (619) 640-5555
- Mailing Fax
- (760) 482-5936
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2022
- Last Update Date
- 11-17-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1039608
- Facility Type
- Physician Office
- Certificate Effective Date
- April 19, 2023
- Certificate Expiration Date
- April 18, 2025
- Laboratory Director
- DAVID J. SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Diego Comprehensive Pain Management Center, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 2 | 9 | 2 | 8 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 9 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 9 + 4 + 8 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1770292807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770292807, enumerated as an "organization" on November 17, 2022.
The provider is located at 626 W MAIN ST EL CENTRO, CA 92243 and the phone number is (760) 482-5931.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
