INTEGRATED NEUROLOGY & PAIN MANAGEMENT, PC (NPI# 1073144762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073144762 |
| Entity Type | Organization |
| Organization Name | INTEGRATED NEUROLOGY & PAIN MANAGEMENT, PC |
| Other Organization Name | VIRTUAL CONSULT MD, LLC |
| Practice Address |
155 Glen Cove Marina Rd E Ste 100 Vallejo CA 94591-7284 |
| Mailing Address |
712 Bancroft Road Ste 905 Walnut Creek CA 94598-1531 |
| Practice Telephone | 7079806257 |
| Practice Fax Number | 7079806692 |
| Mailing Telephone | 7079806257 |
| Mailing Fax Number | 7079806692 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | DR. AMAR ANAND (CEO) |
| Authorized Official Telephone | 7079806257 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Virtual Consult MD, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 712 Bancroft Rd Ste 705, Walnut Creek, CA 945981531 | 9259525550 |
| Street Address |
155 GLEN COVE MARINA RD E STE 100 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-7284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972814408 | Michelle Maria Mora | Psychiatry & Neurology | 4016 Stepping Stone Ct, Vallejo, CA 94591-6389 | 2010-06-30 |
| 1164865804 | Bindu Padmanabha | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2013-04-11 |
| 1104965326 | Robert S Blum | Psychiatry & Neurology | 1416 Tennessee St, Ste 6, Vallejo, CA 94590-4647 | 2007-02-05 |
| 1801968623 | Lynda L. Lam | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1225116064 | Vivek B. Pai | Psychiatry & Neurology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1790886893 | Benjamin Pulido Ligot | Psychiatry & Neurology | 160 Hospital Dr, Vallejo, CA 94589-2517 | 2006-09-25 |
| 1760440150 | Maria Nina A Gonzalez | Psychiatry & Neurology | 975 Sereno Dr, Kaiser Vallejo, Department of Neurology, Vallejo, CA 94589-2441 | 2006-05-03 |
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| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.