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PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP NPI 1265798599


NPI Information

NPI: 1265798599
Provider Name: PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2052189

Address:
5000 SAN PALO RD
ATASCADERO, CA
ZIP 93422
Phone: (805) 782-8132
Get Directions

PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP is an interventional pain medicine pain medicine in Atascadero, 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. PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP NPI is 1265798599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5000 SAN PALO RD
ATASCADERO, CA
ZIP 93422-481
Phone: (805) 782-8132

The provider's authorized official is Boris Pilch .
The authorized official title is Managing Partner and has the following contact phone number (805) 782-8132.

The CLIA number assigned to this NPI record is 05D2052189 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 10/4/2012.


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 MedicineYes

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
1GR0105740MEDICAIDCALIFORNIA
2W18564MEDICARE PINCALIFORNIA

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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