MARTIN KERNBERG MD INC NPI 1780053033

NPI Information

  • NPI: 1780053033
  • Provider Name: MARTIN KERNBERG MD INC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: JEFFERSON PAIN CLINIC
  • Address: 1225 MARSHALL ST
    STE 18
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 464-1989

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NPI Details

MARTIN KERNBERG MD INC is an interventional pain medicine pain medicine in Crescent City, 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. MARTIN KERNBERG MD INC NPI is 1780053033. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jefferson Pain Clinic.

The provider's business location address is:

1225 MARSHALL ST
STE 18
CRESCENT CITY, CA
ZIP 95531-281
Phone: (707) 464-1989
Fax: (707) 464-9593

The provider's authorized official is Martin Kernberg .
The authorized official title is Owner and has the following contact phone number (707) 464-1989.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/16/2015.

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
1207R00000XInternal Medicine62629NEW YORKNo
2208VP0014XPain MedicineInterventional Pain Medicine62629CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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