PAIN ALLEVIA MEDICAL CORPORATION (NPI# 1356795157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356795157 |
| Entity Type | Organization |
| Organization Name | PAIN ALLEVIA MEDICAL CORPORATION |
| Practice Address |
16466 Bernardo Center Dr Suite 150 San Diego CA 92128-2522 |
| Mailing Address |
Po Box 501724 San Diego CA 92150-1724 |
| Practice Telephone | 8584537700 |
| Practice Fax Number | 8587981225 |
| Mailing Telephone | 8584537700 |
| Mailing Fax Number | 8587981225 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | DR. TIMOTHY DANIEL CHONG (PRESIDENT) |
| Authorized Official Telephone | 8584537700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A103353 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053659995 | Pain Allevia Medical Corporation | Pain Medicine | 15611 Pomerado Rd, Suite 525, Poway, CA 92064-2437 | 2013-01-28 |
| Street Address |
16466 BERNARDO CENTER DR SUITE 150 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318048 | Susan Vivien B Chadkewicz | Dentist | 16466 Bernardo Center Dr, Suite 150, San Diego, CA 92128-2508 | 2005-07-05 |
| 1124406632 | Comprehensive Pain Asc, LLC | Clinic/Center | 16466 Bernardo Center Dr, Suite 177, San Diego, CA 92128-2508 | 2015-05-16 |
| 1598923674 | Corene Janna Poelman | Dentist | 16466 Bernardo Center Dr, Suite 176, San Diego, CA 92128-2508 | 2008-05-27 |
| 1992901219 | Timothy Daniel Chong | Physical Medicine & Rehabilitation | 16466 Bernardo Center Dr, Suite 150, San Diego, CA 92128-2508 | 2007-06-24 |
| 1083823843 | Heidi Lou Kamrath | Dentist | 16466 Bernardo Center Dr, Suite 176, San Diego, CA 92128-2508 | 2007-05-21 |
| 1477690030 | Namita Dutta | Dentist | 16466 Bernardo Center Dr, Ste. 185, San Diego, CA 92128-2508 | 2007-01-31 |
| 1487769121 | Corene J. Poelman, D.d.s., M.s., Apc | Dentist | 16466 Bernardo Center Dr, Suite 176, San Diego, CA 92128-2508 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1326203605 | Daniel Maxwell Stuart | Physical Medicine & Rehabilitation | 4510 Executive Dr Ste 100, San Diego, CA 92121-3022 | 2008-07-25 |
| 1407052459 | Henry Able Richardson | Physical Medicine & Rehabilitation | 7525 Metropolitan Dr Ste 302, San Diego, CA 92108-4404 | 2007-06-26 |
| 1649290891 | John Xiao-jiang Qian | Physical Medicine & Rehabilitation | 5395 Ruffin Road., Ste. 204, San Diego, CA 92123-1338 | 2006-07-20 |
| 1629023387 | Michael Moon Md A Medical | Physical Medicine & Rehabilitation | 5348 Carroll Canyon Rd, Suite 101, San Diego, CA 92121-1733 | 2006-05-23 |
| 1518957521 | Walter William Strauser | Physical Medicine & Rehabilitation | 2999 Health Center Dr, San Diego, CA 92123-2762 | 2005-10-21 |
| 1326031980 | Alan Bruce Hurschman | Physical Medicine & Rehabilitation | 5395 Ruffin Rd Ste 204, San Diego, CA 92123-1338 | 2005-08-29 |
| 1205838448 | Howard Jay Waldman | Physical Medicine & Rehabilitation | 5252 Balboa Ave, Ste 901, San Diego, CA 92117-6906 | 2005-06-01 |
| 1700296514 | Joel Castellanos | Physical Medicine & Rehabilitation | 200 W Arbor Dr, San Diego, CA 92103 | 2014-05-01 |
| 1326464660 | Saiyun Hou | Physical Medicine & Rehabilitation | 5395 Ruffin Rd Ste 204, San Diego, CA 92123-1338 | 2014-03-11 |
| Find all providers in SAN DIEGO | ||||
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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.