ABACI AND MASSEY PAIN MANAGEMENT, A MEDICAL COPORATION (NPI# 1710433594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710433594 |
| Entity Type | Organization |
| Organization Name | ABACI AND MASSEY PAIN MANAGEMENT, A MEDICAL COPORATION |
| Other Organization Name | BAY AREA PAIN AND WELLNESS CENTER |
| Practice Address |
15047 Los Gatos Blvd #200 Los Gatos CA 95032-2054 |
| Mailing Address |
15047 Los Gatos Blvd. #200 Los Gatos CA 95032 |
| Practice Telephone | 4083646799 |
| Mailing Telephone | 4083646799 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | MR. MICHAEL SULLIVAN (REGIONAL OPERATIONS MANAGER) |
| Authorized Official Telephone | 4083646799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT93623 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Bay Area Pain and Wellness Center | Doing Business As Name - Organization |
| Street Address |
15047 LOS GATOS BLVD #200 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134229735 | Kelly Ann Nix | Podiatrist | 15047 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2054 | 2006-09-24 |
| 1740744234 | Ravneet Singh | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2019-01-29 |
| 1649710476 | Jessica Goza | Nurse Practitioner | 15047 Los Gatos Blvd, Ste. 200, Los Gatos, CA 95032-2054 | 2017-02-27 |
| 1063950640 | Alyssa Gomez | Nurse Practitioner | 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 | 2017-02-03 |
| 1689006819 | Heather H Elledge | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2013-07-30 |
| 1528333457 | Antoinette T. Morley | Counselor | 15047 Los Gatos Blvd, Ste 200, Los Gatos, CA 95032-2054 | 2012-03-10 |
| 1609156702 | Michael F. Sullivan | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-08-19 |
| 1427343714 | Anne Perry | Psychologist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-06-14 |
| 1689805947 | Jacqueline Crowell | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-08-05 |
| 1467680124 | Robin Kabigting Matias | Physical Medicine & Rehabilitation | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072348 | Vicki Oliverio | Marriage & Family Therapist | 220c Oak Meadow Dr, Los Gatos, CA 95032-4407 | 2020-04-21 |
| 1811542657 | Brian James Thomason | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste S, Los Gatos, CA 95032-2544 | 2019-08-08 |
| 1467004457 | Gloria Teresa Saldana | Marriage & Family Therapist | 16579 Los Gatos Almaden Rd, Los Gatos, CA 95032-3536 | 2019-07-10 |
| 1366000283 | Christine Senter | Marriage & Family Therapist | 15466 Los Gatos Blvd Ste 109-105, Los Gatos, CA 95032-2542 | 2019-06-05 |
| 1598236077 | Joanna Leung | Marriage & Family Therapist | 499 Loma Alta Ave Bldg 10, Los Gatos, CA 95030-6227 | 2018-12-10 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1780078410 | Jessica Sorci | Marriage & Family Therapist | 431 Monterey Ave Ste 7, Los Gatos, CA 95030-5319 | 2015-03-19 |
| 1497191324 | Alexandra Stoltz | Marriage & Family Therapist | 15891 Los Gatos Almaden Rd Ste 276, Los Gatos, CA 95032-3742 | 2013-05-19 |
| 1073860581 | Thedy Oscar Veliz | Marriage & Family Therapist | 330 N Santa Cruz Ave Ste B, Los Gatos, CA 95030-7277 | 2012-08-14 |
| Find all providers in LOS GATOS | ||||
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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.