SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP (NPI# 1205195732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205195732 |
| Entity Type | Organization |
| Organization Name | SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP |
| Practice Address |
1100 Paseo Camarillo Camarillo CA 93010-6073 |
| Practice Telephone | 8054848558 |
| Practice Fax Number | 8054843099 |
| Mailing Telephone | 8055855201 |
| Mailing Fax Number | 8055978354 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | ANN COX (ADMINISTRATOR) |
| Authorized Official Telephone | 8054848558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1100 PASEO CAMARILLO |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-6073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043207459 | Ryan Hisashi Nakasone | Chiropractor | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2005-09-30 |
| 1043648132 | Carlos Miguel Leal | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2013-10-28 |
| 1275828568 | Patrick Dennis Buchanan | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2011-06-14 |
| 1417253550 | Jeannine Dannenbaum | Nurse Practitioner | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2011-02-08 |
| 1083878227 | Antulio Benjamin Aroche Jr. | Orthopaedic Surgery | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2008-07-16 |
| 1376745497 | Central Pacific Pain Management | Specialist | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-06-01 |
| 1023138625 | David M Davis | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2007-03-29 |
| 1316067069 | Stefany D. Wolfsohn | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-03-29 |
| 1285665224 | Alireza Katouzian | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-06 |
| 1386675049 | Alireza Katouzian, Md Inc. | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275828568 | Patrick Dennis Buchanan | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
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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.