SUMMIT PAIN MANAGEMENT INSTITUTE NPI 1235426065

NPI Information

NPI: 1235426065
Provider Name: SUMMIT PAIN MANAGEMENT INSTITUTE
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

CLIA Number: 05D2031736

Address:
1121 MAIDU DR
AUBURN, CA
ZIP 95603
Phone: (530) 888-1118
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SUMMIT PAIN MANAGEMENT INSTITUTE is a medical physician assistant in Auburn, CA. SUMMIT PAIN MANAGEMENT INSTITUTE NPI is 1235426065. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1121 MAIDU DR
AUBURN, CA
ZIP 95603-808
Phone: (530) 888-1118
Fax: (530) 888-8832

The provider's authorized official is Karanjit Basrai .
The authorized official title is Owner and has the following contact phone number (530) 888-1118.

The CLIA number assigned to this NPI record is 05D2031736 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 6/30/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TR0400X	Psychologist	Rehabilitation	No
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
3	225100000X	Physical Therapist		No
4	363LA2200X	Nurse Practitioner	Adult Health	No
5	363AM0700X	Physician Assistant	Medical	Yes

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

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