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PACIFIC PAIN TREATMENT CENTER NPI 1043211147


NPI Information

NPI: 1043211147
Provider Name: PACIFIC PAIN TREATMENT CENTER
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2000 VAN NESS AVE
SUITE #402
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 567-1219
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PACIFIC PAIN TREATMENT CENTER is an interventional pain medicine pain medicine in San Francisco, 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. PACIFIC PAIN TREATMENT CENTER NPI is 1043211147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2000 VAN NESS AVE
SUITE #402
SAN FRANCISCO, CA
ZIP 94109-023
Phone: (415) 567-1219
Fax: (415) 567-2534

The provider's authorized official is Rosellen M Krames .
The authorized official title is Practice Administrator and has the following contact phone number (415) 567-1219.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 8/22/2020.


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 MedicineG23073CALIFORNIAYes

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
1G23073OTHERCALIFORNIABLUE CROSS
2GR0069910MEDICAIDCALIFORNIA
3ZZZ43183ZOTHERCALIFORNIABLUE SHEILD

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: 4/28/2024

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