NOR CAL PAIN MANAGEMENT NPI 1104244029

NPI Information

NPI: 1104244029
Provider Name: NOR CAL PAIN MANAGEMENT
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
5900 SHATTUCK AVE STE 201
OAKLAND, CA
ZIP 94609
Phone: (877) 882-9832
Get Directions

NOR CAL PAIN MANAGEMENT is a medical physician assistant in Oakland, CA. NOR CAL PAIN MANAGEMENT NPI is 1104244029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5900 SHATTUCK AVE STE 201
OAKLAND, CA
ZIP 94609-461
Phone: (877) 882-9832
Fax: (909) 380-7741

The provider's authorized official is Eduardo Anguizola .
The authorized official title is Medical Director and has the following contact phone number (877) 882-9832.

The enumeration date for this NPI number is 3/29/2014 and was last updated on 3/29/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NX0800X	Chiropractor	Orthopedic	26628	CALIFORNIA	No
2	174400000X	Specialist		PSY6247	CALIFORNIA	No
3	363AM0700X	Physician Assistant	Medical	A28494	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A28494	OTHER	CALIFORNIA	LICENSE NUMBER

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »