OrganizationActive
Ketamine America LLC
NPI 1053985986 · Pain Medicine Physician · Mesa, AZ
Provider details
- NPI number
- 1053985986
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Warkentin, Ceo/Owner(310) 770-6368
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Practice location
4838 E Baseline Rd Ste 110
Mesa, AZ 85206-4674
Phone: (480) 426-0767
Fax: (480) 436-6611
Approximate (ZIP-level) locationGet directions
Mailing address
4838 E Baseline Rd Ste 110
Mesa, AZ 85206-4674
Registry dates
- Enumerated
- 2021-05-15
- Last updated
- 2021-05-15
- Certified
- 2021-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.