MEDICARE: COMMUNITY PAIN MANAGEMENT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1942014980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PAIN MANAGEMENT INC.

Provider Business Mailing Address
First Line	:	765 BROADWAY AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2434
Country	:	US
Telephone Number	:	760-540-1508
Fax Number	:	619-304-1580

Provider Business Practice Location Address
First Line	:	765 BROADWAY AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2434
Country	:	US
Telephone Number	:	760-540-1508
Fax Number	:	619-304-1580

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	SHARRON THOMPSON
Credential	:	MD
Telephone Number	:	619-629-6504

Provider Enumeration Date	:	02/01/2025
Last Update Date	:	02/01/2025

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