CMS-1500 Box 24J / 33a • NPI
1417039926
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208VP0000X (CMS 72)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine
Box 32 Service Location & ZIP+4
830 S. CITRUS AVE, SUITE 201, AZUSA, CA, 91702
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417039926 (ALGOS INC., A MEDICAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417039926 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALGOS INC., A MEDICAL CORPORATION |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine NUCC Code: 208VP0000X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 830 S. CITRUS AVE, SUITE 201, AZUSA, CA, 91702 |
| Practice Telephone / Fax | Tel: (626) 974-1441 | Fax: (626) 974-1522 |
| Administrative Mailing Address | 10565 CIVIC CENTER DR STE 250, RANCHO CUCAMONGA, CA, 91730-3854 |
| Enumeration & Last Sync | Enumerated: 2006-10-20 | CMS Record Updated: 2025-03-14 |
| Authorized Official | CLAYTON VARGA (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208VP0000X)
What Does Taxonomy Code 208VP0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALGOS INC., A MEDICAL CORPORATION)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: CA | License: Verified | Primary: Secondary |
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: CA | License: Verified | Primary: Secondary |
2084P2900X — Psychiatry & Neurology, Pain MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: CA | License: Verified | Primary: Secondary |
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: CA | License: Verified | Primary: Yes (Primary) |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: CA | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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