Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Pain Management Medical Clinic Inc

Organization Interventional Pain Medicine Physician · NPI 1811992068

Community Pain Management Medical Clinic Inc is an Interventional Pain Medicine Physician in Riverside, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 Brockton Ave Ste 305
Riverside, CA 92501-4028
Phone: (951) 715-3963
Fax: (951) 715-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence A32046 (CA)

Record details

NPI number1811992068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Maddox — Medical Director · (951) 715-3963
NPI enumeratedJune 15, 2005
Last updated in NPPESApril 20, 2008
Mailing addressPo Box 1509, Riverside, CA 92502-1509

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