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COMMUNITY PAIN MANAGEMENT MEDICAL CLINIC INC
NPI 1811992068
Pain Medicine - Interventional Pain Medicine in Riverside, CA

Active since June 15, 2005
4500 BROCKTON AVE, STE 305, RIVERSIDE, CA 92501(951) 715-3963(951) 715-3960 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Pain Management Medical Clinic Inc NPPES

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

COMMUNITY PAIN MANAGEMENT MEDICAL CLINIC INC (NPI 1811992068) is a healthcare organization registered as an interventional pain medicine in Riverside, California and active in the NPI registry since June 2005. The organization lists Jan Paul Maddox, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811992068
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCOMMUNITY PAIN MANAGEMENT MEDICAL CLINIC INC
Location Address4500 BROCKTON AVE, STE 305Riverside, CA 92501-4028
Mailing AddressPo Box 1509Riverside, CA 92502-1509 · (951) 715-3963 · Fax (951) 715-3960
Phone(951) 715-3963
Fax(951) 715-3960
Organization SubpartNo
Authorized OfficialJan Paul MaddoxMedical Director · (951) 715-3963
Enumeration DateJune 15, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1811992068 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 · A32046
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
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Other Identifiers 4

Medicare ID-Type UnspecifiedZZZ23642ZCA
Other00A320460CA · Medi-cal Id Number
OtherZZZ05981ZCA · Blue Shield Id
Medicare UPINA26683CA

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 20

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

RIVERSIDE RADIOLOGY MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
4500 BROCKTON AVE, SUITE 219
RIVERSIDE, CA 92501
Riverside County (951) 276-7550
MISSION UROLOGY, INC.
Urology
4500 BROCKTON AVE, SUITE 301
RIVERSIDE, CA 92501
Riverside County (951) 276-4505
GEORGES ABOU RJAILI MD
Internal Medicine (Cardiovascular Disease)
4500 BROCKTON AVE, STE 203
RIVERSIDE, CA 92501
Riverside County (951) 686-3600
DR. STEVEN GODELMAN MD
Surgery (Trauma Surgery)
4500 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
MR. EUGENE WILLIAM ALBRIGHT JR. M.D.
Obstetrics & Gynecology
4500 BROCKTON AVE, SUITE 315
RIVERSIDE, CA 92501
Riverside County (951) 781-7184
SRI GORTY M.D. INC
Radiology (Radiation Oncology)
4500 BROCKTON AVE, 101
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
JOCELYN CASES
Nurse Practitioner (Family)
4500 BROCKTON AVE, SUITE 315
RIVERSIDE, CA 92501
Riverside County (951) 680-0909
BENJAMIN CHUNG MD
Internal Medicine
4500 BROCKTON AVE, SUITE 306
RIVERSIDE, CA 92501
Riverside County (951) 321-0100

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 Community Pain Management Medical Clinic Inc's NPI number?

The NPI number for Community Pain Management Medical Clinic Inc is 1811992068. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Community Pain Management Medical Clinic Inc located?

Community Pain Management Medical Clinic Inc is located at 4500 Brockton Ave Ste 305, Riverside, CA 92501. The listed phone number is (951) 715-3963.

What is Community Pain Management Medical Clinic Inc'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 Community Pain Management Medical Clinic Inc was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.