TEMECULA VALLEY PAIN MEDICAL GROUP (NPI# 1619994365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619994365 |
| Entity Type | Organization |
| Organization Name | TEMECULA VALLEY PAIN MEDICAL GROUP |
| Other Organization Name | UNIVERSITY SPINE INSTITUTE |
| Practice Address |
28078 Baxter Rd Suite 128 Murrieta CA 92563-1402 |
| Mailing Address |
27475 Ynez Rd # 295 Temecula CA 92591-4612 |
| Practice Telephone | 9518945000 |
| Practice Fax Number | 9512961098 |
| Mailing Telephone | 9518945000 |
| Mailing Fax Number | 9512961098 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | VANCE ZACHARY JOHNSON (PRESIDENTCEO) |
| Authorized Official Telephone | 9518945000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD ID #1 | ZZZ09959Z | 01 |
| CA | BLUE SHIELD ID #2 | ZZZ09960Z | 01 |
| Other Name | Type Code |
|---|---|
| University Spine Institute | Doing Business As Name - Organization |
| Street Address |
28078 BAXTER RD SUITE 128 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896525 | Yoshinobu Mifune | Family Medicine | 28078 Baxter Rd, Suite 410, Murrieta, CA 92563-1402 | 2005-10-25 |
| 1780210849 | Melody Torno | Physical Therapist | 28078 Baxter Rd, Murrieta, CA 92563-1402 | 2020-03-20 |
| 1164957031 | Loma Linda University Behavioral Medicine Center Inc | Psychiatric Hospital | 28078 Baxter Rd, Suite 230, Murrieta, CA 92563 | 2017-04-27 |
| 1588023295 | Hematology Oncology Consultants | Specialist | 28078 Baxter Rd, Ste 140, Murrieta, CA 92563-1402 | 2016-02-23 |
| 1912364175 | Stephane E. Johnson, Md, P.C. | Psychiatry & Neurology | 28078 Baxter Rd, Suite 228, Murrieta, CA 92563-1402 | 2016-01-19 |
| 1093107104 | Advanced Neurosurgery Associates, Inc. | Neurological Surgery | 28078 Baxter Rd, Suite 430, Murrieta, CA 92563-1404 | 2015-02-26 |
| 1417348434 | University Spine Institute Inc | Neurological Surgery | 28078 Baxter Rd, Ste 128, Murrieta, CA 92563-1402 | 2015-02-12 |
| 1851721716 | Lily S. Chung, Md, PC | Psychiatry & Neurology | 28078 Baxter Rd, Suite 228, Murrieta, CA 92563-1402 | 2013-11-13 |
| 1902142987 | Advanced Wound Care & Hyperbaric Specialists, PC | Family Medicine | 28078 Baxter Rd, Suite 410, Murrieta, CA 92563-1402 | 2012-12-20 |
| 1710274121 | Tuan Ngoc Nguyen Md Inc | Family Medicine | 28078 Baxter Rd, Suite 320, Murrieta, CA 92563-1404 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| 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 |
|---|---|---|---|---|
| 1518988005 | Vance Zachary Johnson | Pain Medicine | 28078 Baxter Road, Suite 128, Murrieta, CA 92563-1402 | 2006-07-21 |
| 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.