OrganizationActive
Community Pain Management Medical Clinic Inc
NPI 1811992068 · Interventional Pain Medicine Physician · Riverside, CA
Provider details
- NPI number
- 1811992068
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jan Maddox, Medical Director(951) 715-3963
- License
- A32046 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4500 Brockton Ave
Ste 305
Riverside, CA 92501-4028
Phone: (951) 715-3963
Fax: (951) 715-3960
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1509
Riverside, CA 92502-1509
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.