EAST BAY PAIN MANAGEMENT CENTER, INC (NPI# 1811390602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811390602 |
| Entity Type | Organization |
| Organization Name | EAST BAY PAIN MANAGEMENT CENTER, INC |
| Practice Address |
7351 Brentwood Blvd Suite A Brentwood CA 94513-7313 |
| Practice Telephone | 9255165656 |
| Practice Fax Number | 9255165943 |
| Mailing Telephone | 9255165656 |
| Mailing Fax Number | 9255165943 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DAN JARDIN (PRESIDENT) |
| Authorized Official Telephone | 9252507447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC25146 | CA | Chiropractic Providers |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A128252 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A128252 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A128252 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7351 BRENTWOOD BLVD SUITE A |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
| 1376140152 | Tania Faruque M.d. P.C. | Pain Medicine | 255 N Elm St Ste 101, Escondido, CA 92025-3431 | 2020-10-05 |
| 1578199147 | Pinnacle Pain & Regenerative Medicine Inc | Pain Medicine | 24452 Health Center Dr, Laguna Hills, CA 92653-3604 | 2020-03-16 |
| 1396376745 | Michael Truong, Md | Pain Medicine | 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 | 2020-02-03 |
| 1013554930 | Algos Inc., A Medical Corporation | Pain Medicine | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-10 |
| 1649823964 | Bolt Surgery Center, LLC | Pain Medicine | 1124 S Main St Ste 102, Corona, CA 92882-4449 | 2019-07-17 |
| 1730649799 | Niamedic Bh PC | Pain Medicine | 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 | 2019-03-24 |
| 1174097612 | Southern California Regenerative Medical Inc | Pain Medicine | 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 | 2019-01-17 |
| 1215404132 | Haven Orthopedics & Spine Institute Inc | Pain Medicine | 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 | 2018-10-29 |
| 1700387347 | Paul Kim Md Inc. | Pain Medicine | 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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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.