PAIN MEDICINE CONSULTANTS, INC. (NPI# 1255633707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255633707 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE CONSULTANTS, INC. |
| Practice Address |
5924 Stoneridge Dr Suite 102 Pleasanton CA 94588-2887 |
| Mailing Address |
100 N Wiget Ln Suite 160 Walnut Creek CA 94598-5988 |
| Practice Telephone | 9252871256 |
| Practice Fax Number | 9252870913 |
| Mailing Telephone | 9252871256 |
| Mailing Fax Number | 9252870931 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | DR. RICHARD CRAIG SHINAMAN (PARTNER) |
| Authorized Official Telephone | 9252871256 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CA | Suppliers | |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740685205 | Pain Medicine Consultants, Inc. | Specialist | 2250 Morello Ave, 2nd Floor, Pleasant Hill, CA 94523-1860 | 2014-10-27 |
| 1568764959 | Pain Medicine Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 100 Rowland Way, Suite 200, Novato, CA 94945-5011 | 2010-11-17 |
| 1831327055 | Pain Medicine Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 2250 Morello Ave, Pleasant Hill, CA 94523-1860 | 2009-06-25 |
| Street Address |
5924 STONERIDGE DR SUITE 102 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082359 | Lucille B. Andersen | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2006-04-14 |
| 1366813610 | Eun-ju Park | Acupuncturist | 5924 Stoneridge Dr, Suite 204a, Pleasanton, CA 94588-2887 | 2015-10-13 |
| 1407287592 | Accura Imaging, Inc | Radiologic Technologist | 5924 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-2887 | 2013-11-27 |
| 1619318391 | Summit Surgery Center LLC | Clinic/Center | 5924 Stoneridge Dr, 206, Pleasanton, CA 94588-2887 | 2013-07-10 |
| 1235575051 | Andersen Orthopedics, A Professional Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2013-05-20 |
| 1194094144 | Marta Baird | Dentist | 5924 Stoneridge Dr, Suite 203, Pleasanton, CA 94588-2887 | 2011-12-20 |
| 1164708582 | Navin Mallavaram, M.d., Inc. | Pain Medicine | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2011-10-31 |
| 1679855076 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 5924 Stoneridge Dr, Suite 201, Pleasanton, CA 94588-2887 | 2011-09-13 |
| 1801192646 | Breastlink Medical Group Inc | Chiropractor | 5924 Stoneridge Dr, Suite 108, Pleasanton, CA 94588-2887 | 2011-01-26 |
| 1609109412 | Sharmila Acharya | Physical Therapist | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2009-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265835532 | Samy E Louka Md Inc | Anesthesiology | 2324 Santa Rita Rd, Suite 9, Pleasanton, CA 94566-4152 | 2014-10-01 |
| 1962677724 | Navin A Mallavaram | Anesthesiology | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.