CALIFORNIA PAIN RELIEF GROUP PC (NPI# 1184260242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184260242 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PAIN RELIEF GROUP PC |
| Practice Address |
295 Imperial Hwy Ste 100 Fullerton CA 92835-1020 |
| Mailing Address |
504 N Reo St Tampa FL 33609-1013 |
| Practice Telephone | 8883117246 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | RODOLFO GARI (FOUNDER) |
| Authorized Official Telephone | 8135492134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
295 IMPERIAL HWY STE 100 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003078981 | Paul Chen Lee | Physical Medicine & Rehabilitation | 1440 N Harbor Blvd Ste 100, Fullerton, CA 92835-4114 | 2008-07-01 |
| 1558523928 | David Wonhee Lee | Physical Medicine & Rehabilitation | 680 Langsdorf Dr Ste 103, Fullerton, CA 92831 | 2008-06-27 |
| 1992894034 | Vladimir Kaye | Physical Medicine & Rehabilitation | 159 N Raymond Ave, Fullerton, CA 92831-4609 | 2006-10-12 |
| 1922591460 | Paul C. Lee M.d., Inc. | Physical Medicine & Rehabilitation | 1440 N Harbor Blvd Ste 100, Fullerton, CA 92835-4114 | 2018-06-10 |
| 1033529854 | New Medical Vision | Physical Medicine & Rehabilitation | 159 N Raymond Ave, Fullerton, CA 92831-4609 | 2014-05-01 |
| 1386067858 | Alternative Medical Solutions | Physical Medicine & Rehabilitation | 159 N Raymond Ave, Fullerton, CA 92831-4609 | 2014-02-03 |
| 1558633859 | Vladimir Kaye, M.d., A Professional Corporation | Physical Medicine & Rehabilitation | 159 N Raymond Ave, Fullerton, CA 92831-4609 | 2012-02-01 |
| 1033396445 | Apex Pain Management, Inc | Physical Medicine & Rehabilitation | 159 N Raymond Ave, Fullerton, CA 92831-4609 | 2008-01-28 |
| 1679760094 | Howard Dedes | Physical Medicine & Rehabilitation | 295 Imperial Hwy, Fullerton, CA 92835-1020 | 2007-09-30 |
| 1871788828 | Robyn K Sato Do Medical Corporation | Physical Medicine & Rehabilitation | 150 Laguna Rd Ste A, Fullerton, CA 92835-3614 | 2007-09-12 |
| Find all providers in FULLERTON | ||||
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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.