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EL DORADO PAIN MANAGEMENT CENTER NPI 1134305188


NPI Information

NPI: 1134305188
Provider Name: EL DORADO PAIN MANAGEMENT CENTER
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D1068406

Address:
1208 SUNCAST LN
EL DORADO HILLS, CA
ZIP 95762
Phone: (530) 672-1311
Get Directions

EL DORADO PAIN MANAGEMENT CENTER is an interventional pain medicine pain medicine in El Dorado Hills, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EL DORADO PAIN MANAGEMENT CENTER NPI is 1134305188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1208 SUNCAST LN
EL DORADO HILLS, CA
ZIP 95762-631
Phone: (530) 672-1311
Fax: (530) 672-1335

The provider's authorized official is Lisa J Herrera .
The authorized official title is Practice Manager and has the following contact phone number (530) 672-1311.

The CLIA number assigned to this NPI record is 05D1068406 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/20/2008 and was last updated on 2/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineA83780CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H98678MEDICARE UPINCALIFORNIA
200A837802MEDICARE PINCALIFORNIA
300A837800MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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