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

Ketamine America LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1053985986

Ketamine America LLC is a Pain Medicine (Anesthesiology) Physician in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4838 E Baseline Rd Ste 110
Mesa, AZ 85206-4674
Phone: (480) 426-0767
Fax: (480) 436-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1053985986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Warkentin — Ceo/Owner · (310) 770-6368
NPI enumeratedMay 15, 2021
Last updated in NPPESMay 15, 2021
Certification dateMay 15, 2021
Mailing address4838 E Baseline Rd Ste 110, Mesa, AZ 85206-4674

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