Organization Active NPI

Pacific Pain Institute

  • Non-Pharmacy Dispensing Site
  • San Leandro, CA
National Provider Identifier
1003295668
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A82682 Issued in CA
Legal business name
PACIFIC PAIN INSTITUTE
Practice address
2410 Merced St
San Leandro, CA 94577-4211
Phone
(510) 278-2700
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Toufan Razi, M.D.NPI 1215952726
Title
Dispensing Practitoner
Phone
(510) 278-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A82682 CA Primary

Addresses

Primary practice location

2410 Merced St
San Leandro, CA 94577-4211

Mailing address

311 Park Place Blvd
Suite 500
Clearwater, FL 33759-4904
Phone (813) 867-7201

National Provider Directory

National Provider Directory
Tax ID family
Pacific Pain Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1003295668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "SUITE 500",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "813-867-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 MERCED ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774211",
            "telephone_number": "510-278-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "RAZI",
        "authorized_official_first_name": "TOUFAN",
        "authorized_official_title_or_position": "DISPENSING PRACTITONER",
        "authorized_official_telephone_number": "510-278-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A82682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.