PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP (NPI# 1679857510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679857510 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP |
| Practice Address |
314 S Stratford Ave Santa Maria CA 93454-5903 |
| Mailing Address |
Po Box 4659 San Luis Obispo CA 93403-4659 |
| Practice Telephone | 8059225655 |
| Practice Fax Number | 8059225889 |
| Mailing Telephone | 8059225655 |
| Mailing Fax Number | 8059225889 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | BORIS PILCH (MANAGING PARTNER) |
| Authorized Official Telephone | 8057864878 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0105740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435416 | Pain Management Specialists Medical Group | Specialist | 10 Santa Rosa St, Ste 201, San Luis Obispo, CA 93405-5825 | 2005-05-23 |
| 1265798599 | Pain Management Specialists Medical Group | Pain Medicine | 5000 San Palo Rd, Atascadero, CA 93422-2481 | 2012-04-11 |
| Street Address |
314 S STRATFORD AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538149224 | Sheri D Marquez | Radiology | 314 S Stratford Ave, Santa Maria, CA 93454-5903 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477963775 | Tami Marie Mayorga | Specialist | 350 E Clark Ave, Santa Maria, CA 93455-5355 | 2014-05-07 |
| 1700157641 | Emergency Physicians Industrial Medical Associates, Inc. | Specialist | 3070 Skyway Dr, Suite 106, Santa Maria, CA 93455-1829 | 2012-01-24 |
| 1083878854 | Coastal Hand & Occupational Therapy | Specialist | 201 North College Dr, Suite 203, Santa Maria, CA 93454 | 2008-07-11 |
| 1336335538 | Ram K Setty, Md Inc | Specialist | 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 | 2007-09-20 |
| 1982895132 | Albert W Hawkins Md Inc | Specialist | 1300 E Cypress, G1, Santa Maria, CA 93454 | 2007-08-05 |
| 1235283565 | Henry Ang Young | Specialist | 1505 Shepard Dr Ste 102, Santa Maria, CA 93454-7016 | 2007-01-23 |
| 1396817326 | Lisa Alvarez | Specialist | 124 Carmen Ln Ste Y, Santa Maria, CA 93458-7768 | 2006-11-14 |
| 1740388479 | Donald Rommes | Specialist | 1400 Church St., Marian Medical Center, Santa Maria, CA 93454 | 2006-09-20 |
| 1619906872 | Bhanji D. Kundaria | Specialist | 1505 Shepard Dr Ste 106, Santa Maria, CA 93454-7016 | 2006-07-01 |
| 1396780623 | Bruce A Ourieff | Specialist | 821 E Chapel St Ste 201, Santa Maria, CA 93454-4619 | 2006-06-19 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP.
| 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.