CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC (NPI# 1871657403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871657403 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC |
| Other Organization Name | CENTRAL VALLEY PAIN MANAGEMENT |
| Practice Address |
1300 Mable Avenue Suite 2 Modesto CA 95355-1120 |
| Practice Telephone | 2095711992 |
| Practice Fax Number | 2095711994 |
| Mailing Telephone | 2095711992 |
| Mailing Fax Number | 2095711994 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | PATRICK NEAL RHOADES (PRESIDENT) |
| Authorized Official Telephone | 2095711992 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
00A519490 | CA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
00A519490 | CA | Allopathic & Osteopathic Physicians |
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 00A519490 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A519490 | 05 |
| Other Name | Type Code |
|---|---|
| Central Valley Pain Management | Other Name - Individual/Organization |
| Street Address |
1300 MABLE AVENUE SUITE 2 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649437997 | Rhonda Michelle Smith | Physician Assistant | 1300 Mable Avenue, Suite 2, Modesto, CA 95355 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265565162 | Central Valley Pain Management & Wellness Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | 2007-03-13 |
| 1497888382 | Central Valley Pain Management & Wellness Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531837 | Resham Macfarlane | Neuromusculoskeletal Medicine, Sports Medicine | 3025 Dana St, Berkeley, CA 94705-2041 | 2020-08-31 |
| 1578065934 | Shae Nicole Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 | 2018-03-01 |
| 1578843793 | Krista Senness Lund | Neuromusculoskeletal Medicine, Sports Medicine | 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 | 2011-08-18 |
| 1851697809 | William James Meecham | Neuromusculoskeletal Medicine, Sports Medicine | 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 | 2011-02-08 |
| 1689980534 | Avon Day Manney | Neuromusculoskeletal Medicine, Sports Medicine | 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 | 2010-08-28 |
| 1104153113 | Orange County Medical Group, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 | 2009-11-11 |
| 1750614343 | Westwood Neurodiagnostic Center | Neuromusculoskeletal Medicine, Sports Medicine | 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 | 2009-09-14 |
| 1922295344 | Wilshire Neuro-diagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 | 2007-09-30 |
| 1699972042 | Giang-tuyet Nguyen Lam | Neuromusculoskeletal Medicine, Sports Medicine | 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 | 2007-06-29 |
| 1760684757 | Carter Harrison Sigmon | Neuromusculoskeletal Medicine, Sports Medicine | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2007-06-03 |
| 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.