Pacific Integrative Medical Group Inc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Santa Monica, California. Their current practice location is
2232 Santa Monica Blvd # 101, Santa Monica, California. You can reach out to their office (for appointments etc.) via phone at
(310) 393-2225.
Pacific Integrative Medical Group Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pacific Integrative Medical Group Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1831707199.
Healthcare Provider's Profile
| Full Name | Pacific Integrative Medical Group Inc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2232 Santa Monica Blvd # 101, Santa Monica, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831707199
- Provider Enumeration Date: 07/22/2020
- Last Update Date: 08/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264851401
- Enrollment ID: O20201007002029
Medical Identifiers
Medical identifiers for Pacific Integrative Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831707199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NS0005X | Chiropractor - Sports Physician | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pacific Integrative Medical Group Inc acts as a billing entity for following providers:
| Provider Name | Adam H Silver |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1548465255
PECOS PAC ID: 6305018664
Enrollment ID: I20111010000144 |
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| Provider Name | Alex Kaliakin |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1285663906
PECOS PAC ID: 8527007236
Enrollment ID: I20201009002314 |
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| Provider Name | Faraz Sadighim |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1548934771
PECOS PAC ID: 6800290164
Enrollment ID: I20210809001448 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Integrative Medical Group Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pacific Integrative Medical Group Inc
2232 Santa Monica Blvd # 101,
Santa Monica, CA 90404-2312
Ph: (310) 393-2225 | Pacific Integrative Medical Group Inc
2232 Santa Monica Blvd # 101,
Santa Monica, CA 90404-2312
Ph: (310) 393-2225 |
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