Provider Demographics
NPI:1265392674
Name:COMMUNITY PAIN MANAGEMENT INC.
Entity type:Organization
Organization Name:COMMUNITY PAIN MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:LOTUS
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-970-4064
Mailing Address - Street 1:485 BROADWAY AVE STE F
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2451
Mailing Address - Country:US
Mailing Address - Phone:760-970-4064
Mailing Address - Fax:619-304-1580
Practice Address - Street 1:485 BROADWAY AVE STE F
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2451
Practice Address - Country:US
Practice Address - Phone:760-970-4064
Practice Address - Fax:619-304-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain