Epidaurus Medical
NPI 1487388500 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Epidaurus Medical is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Los Angeles, CA (NPI 1487388500).
Provider details
- NPI number
- 1487388500
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Epidaurus Medical
- Organization subpart
- Yes
- Authorized official
- Raj Desai, Owner(424) 301-7090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Epidaurus Rehab Consultants
- Doing business as
- Performance Sports and Spine
Additional practice locations (2)
- 4553 Glencoe AveSuite 140Marina Del Rey, CA 90292Phone: (424) 301-7090Fax: (310) 602-6759
- 23939 Mcbean ParkwaySuite 215Valencia, CA 91355Phone: (424) 401-7090Fax: (310) 602-6759
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Epidaurus Medical's NPI number?
- Epidaurus Medical's National Provider Identifier (NPI) is 1487388500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Epidaurus Medical?
- Epidaurus Medical is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Epidaurus Medical located?
- Epidaurus Medical's practice location on file with NPPES is 8821 Aviation Blvd Unit 88100, Los Angeles, CA 90009-3496.
- What is Epidaurus Medical's phone number?
- The practice phone number listed in the NPPES registry for Epidaurus Medical is (848) 228-0612.
- Does Epidaurus Medical accept Medicare?
- Epidaurus Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Epidaurus Medical?
- The authorized official listed on Epidaurus Medical's NPPES record is Raj Desai, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Epidaurus Medical's NPI active?
- Yes — Epidaurus Medical's NPI (1487388500) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.