1. Home
  2. Directory
  3. California
  4. Victorville
  5. Anesthesiology
  6. NPI Profile

ADVANCED PAIN MANAGEMENT CENTER
NPI 1821186776
Anesthesiology - Pain Medicine in Victorville, CA

Active since October 10, 2006CLIA 05D1100215 · Waiver
15447 W SAND ST, VICTORVILLE, CA 92392(760) 843-9679(760) 245-3618 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Pain Management Center NPPES

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

ADVANCED PAIN MANAGEMENT CENTER (NPI 1821186776) is a healthcare organization registered as a pain medicine in Victorville, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Joe Park, President, as its authorized official.

NPPES Registry Identity

NPI1821186776
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameJP ANESTHESIOLOGY, INC
Location Address15447 W SAND STVictorville, CA 92392-2904
Mailing Address15447 West Sand StreetVictorville, CA 92392-4500 · (760) 843-9679 · Fax (760) 245-3618
Phone(760) 843-9679
Fax(760) 245-3618
Organization SubpartNo
Authorized OfficialJoe ParkPresident · (760) 843-9679
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1821186776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A86588
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
15447 W SAND ST, Victorville, CA 92392
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Pain Management Center

Other Identifiers 3

Medicaid00A865880CA
OtherZZZ02746ZCA · Ptan
OtherDF4286CA · Medicare Railroad

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

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 Waiver 05D1100215

Advanced Pain Management Center · Victorville, CA
Active · expires Jun 1, 2027
CLIA Number05D1100215
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorJoe Park, MD
Laboratory Phone(760) 843-9679
Laboratory LocationAdvanced Pain Management Center15447 W Sand Street, Victorville, CA 92392
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOE PARK M.D.
Anesthesiology (Pain Medicine)
15447 W SAND ST
VICTORVILLE, CA 92392
San Bernardino County (760) 843-9679

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 Jp Anesthesiology, Inc's NPI number?

The NPI number for Jp Anesthesiology, Inc is 1821186776. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Advanced Pain Management Center.

Where is Jp Anesthesiology, Inc located?

Jp Anesthesiology, Inc is located at 15447 W Sand St, Victorville, CA 92392. The listed phone number is (760) 843-9679.

What is Jp Anesthesiology, Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Jp Anesthesiology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1100215) is associated with this NPI, valid through June 1, 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 Jp Anesthesiology, Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.