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SOFT TISSUE MEDICAL CENTER INC NPI 1013046705


NPI Information

NPI: 1013046705
Provider Name: SOFT TISSUE MEDICAL CENTER INC
Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
648 PINE AVE
PACIFIC GROVE, CA
ZIP 93950
Phone: (831) 373-0188
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SOFT TISSUE MEDICAL CENTER INC is a rehabilitation chiropractor in Pacific Grove, CA. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. SOFT TISSUE MEDICAL CENTER INC NPI is 1013046705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

648 PINE AVE
PACIFIC GROVE, CA
ZIP 93950-347
Phone: (831) 373-0188
Fax: (831) 373-6979

The provider's authorized official is Anthony Michael Payan .
The authorized official title is Owner/officer and has the following contact phone number (831) 373-0188.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 2/28/2018.


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
1111NR0400XChiropractorRehabilitationDC19245CALIFORNIAYes
2208100000XPhysical Medicine & RehabilitationG42005CALIFORNIANo

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
1G42005OTHERCALIFORNIARWT - BC
2ZZZ66746ZOTHERCALIFORNIABLUE SHIELD
300G420050OTHERCALIFORNIARWT - BS
4DC19245OTHERCALIFORNIADAP - BC
51134258825OTHERCALIFORNIADAP - NPI
6DC0192450OTHERCALIFORNIADAP - BS
71619998960OTHERCALIFORNIARWT NPI
8=========OTHERCALIFORNIATIN

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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