FMR INTERVENTIONAL QPM – NPI #1568958171
Pain Medicine

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

FMR INTERVENTIONAL QPM is a provider located in CARSON, CA. NPPES has assigned the NPI number 1568958171 to FMR INTERVENTIONAL QPM on July 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FMR INTERVENTIONAL QPM” is a dba name, the actual legal business name for this organization is FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT, A PROFESSIONAL CORP. This provider is also associated with 2 additional names listed below. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0000X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Pain Medicine

The NPI profile was previously updated about 3 years ago on Jul 28, 2023. 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 FMR INTERVENTIONAL QPM below.

NPI Profile for
FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT, A PROFESSIONAL CORP

NPI Number
1568958171
Enumeration Date

(about 8 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
FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT, A PROFESSIONAL CORP
Doing Business As (dba): FMR INTERVENTIONAL QPM
Other name(s)
All associated names:
Doing Business As (dba)
FMR INTERVENTIONAL QPM
Doing Business As (dba)
FMR Interventional Quality Pain Management
Primary location
20620 LEAPWOOD AVE
SUITE H
CARSON, CA 90746
Phone: (310) 294-9027 Fax: (562) 453-3059
3 Other location(s):
12115 Paramount Blvd
Downey, CA 90242-2309
Phone: (562) 242-2070
Fax: (562) 242-2072
14925 Burbank Blvd
Sherman Oaks, CA 91411-3610
Phone: (310) 294-9027
Fax: (562) 453-3059
1900 W Garvey Ave S Ste 223
West Covina, CA 91790-2653
Phone: (310) 294-9027
Fax: (562) 453-3059
Mailing address
12415 NORWALK BLVD
UNIT 59600
NORWALK, CA 90652
Phone: (310) 294-9027 Fax: (562) 453-3059
Organization Subpart
No
Authorized Official
F. RUSSMAN
MEDICAL DIRECTOR/OWNER
Phone: (310) 294-9027
Updated
Certification Date
Jul 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208VP0000X
- Pain Medicine / Pain Medicine (Primary)
171100000X
- Acupuncturist
111N00000X
- Chiropractor

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
20620 LEAPWOOD AVE STE H,
CARSON, CA 77025-1669