NORTH COAST MEDICAL CENTER INC NPI 1932305968

NPI Information

NPI: 1932305968
Provider Name: NORTH COAST MEDICAL CENTER INC

Other Name: DR MICHAEL TRAN MD

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2465 SUMMERFIELD RD
SANTA ROSA, CA
ZIP 95405
Phone: (707) 546-7979
Get Directions

NORTH COAST MEDICAL CENTER INC is a pain medicine physical medicine rehabilitation in Santa Rosa, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NORTH COAST MEDICAL CENTER INC NPI is 1932305968. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Michael Tran Md.

The provider's business location address is:

2465 SUMMERFIELD RD
SANTA ROSA, CA
ZIP 95405-815
Phone: (707) 546-7979
Fax: (707) 546-7667

The provider's authorized official is Michael L Tran .
The authorized official title is Owner Doctor and has the following contact phone number (707) 546-7979.

The CLIA number assigned to this NPI record is 05D1084388 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 6/8/2015.

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
1	207L00000X	Anesthesiology			CALIFORNIA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	G085353	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	00G853530	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	G80494	MEDICARE UPIN
3	159045000	OTHER	CALIFORNIA	US DEPT OF LABOR

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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