SIMI PAIN CENTER – NPI #1124182001
Anesthesiology

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.

Health Care Provider Taxonomy Code for Anesthesiology

SIMI PAIN CENTER is an anesthesiologist located in SIMI VALLEY, CA. NPPES has assigned the NPI number 1124182001 to SIMI PAIN CENTER on December 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SIMI PAIN CENTER” is a dba name, the actual legal business name for this organization is CHAD WILDE MD, A MEDICAL CORPORATION. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 16 years ago on Sep 10, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIMI PAIN CENTER below.

NPI Profile for
CHAD WILDE MD, A MEDICAL CORPORATION

NPI Number
1124182001
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHAD WILDE MD, A MEDICAL CORPORATION
Doing Business As (dba): SIMI PAIN CENTER
Primary location
1350 E LOS ANGELES AVE
SUITE 3 A
SIMI VALLEY, CA 93065-2898
Phone: (805) 504-4810 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHAD WILDE
PRESIDENT
Phone: (805) 504-4810
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)		 CA A96633

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.