Soft Tissue Medical Center Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC19245 Issued in CA

Legal business name

SOFT TISSUE MEDICAL CENTER INC

Practice address

648 Pine Ave
Pacific Grove, CA 93950-3347

Phone

(831) 373-0188

Fax

(831) 373-6979

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Michael Payan, DC

Title

Owner/Officer

Phone

(831) 373-0188

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

Practitioners 3

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

• Clifton Sergio Perry, DC

  • Rehabilitation Chiropractor
  • Pacific Grove, CA
  • NPI 1235305194
  NPD (past)
• Braundoone A Scott, D.C.

  • Rehabilitation Chiropractor
  • Monterey, CA
  • NPI 1942360284
  NPD (past)
• Fallon M Hookailo, PT

  • Physical Therapist
  • Kapolei, HI
  • NPI 1619119500
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1013046705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PINE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503347",
            "telephone_number": "831-373-0188",
            "fax_number": "831-373-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PINE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503347",
            "telephone_number": "831-373-0188",
            "fax_number": "831-373-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT TISSUE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "PAYAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "831-373-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC19245",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G42005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAP - BS",
            "identifier": "DC0192450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RWT - BS",
            "identifier": "00G420050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RWT NPI",
            "identifier": "1619998960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAP - BC",
            "identifier": "DC19245",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RWT - BC",
            "identifier": "G42005",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ66746Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAP - NPI",
            "identifier": "1134258825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aija Singleton
• Charlotte A. Sky, PH.D.
• Darcy Jordan Smith, MT-BC
• Whitney Raymond Snow, PHARM.D.
• Social Skills Training and Resources
• Southern California Liver and Gi Center
• Scott Stabile, PTA
• Lindsay Erin Stanley, LE
• Peter Steffen, D.P.M.
• Tod Michael Steffenilla, MPT

• Rehabilitation Chiropractor in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.