Pain Clinic of Monterey Bay

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN CLINIC OF MONTEREY BAY

Practice address

55 Penny LN
Ste #103
Watsonville, CA 95076

Phone

(831) 724-6111

Fax

(831) 724-6163

NPI assigned

Jun 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Poree, MDNPI 1457391922

Title

President

Phone

(831) 724-6111

Specialties & licenses 1

Addresses

Tax ID family

Pain Clinic of Monterey Bay4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pain Clinic of Monterey Bay

  • Pain Medicine (Anesthesiology) Physician
  • Santa Cruz, CA
  • NPI 1104864909
  NPD tax ID
• Pain Clinic of Monterey Bay

  • Pain Medicine (Anesthesiology) Physician
  • Watsonville, CA
  • NPI 1548200017
  NPD tax ID
• Wolbers and Poree Medical Corp

  • Pain Medicine (Anesthesiology) Physician
  • Soquel, CA
  • NPI 1487692158
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence R Poree, MD

  • Interventional Pain Medicine Physician
  • San Francisco, CA
  • NPI 1457391922
  NPD (past) Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013955814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PENNY LN",
            "address_2": "STE #103",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PENNY LN",
            "address_2": "STE #103",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "831-724-6111",
            "fax_number": "831-724-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CLINIC OF MONTEREY BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POREE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-724-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Osborn
• Maria Pacheco
• Maya Esperanza Padilla Chavez
• Jennifer Padilla
• Leonord Pagadala, D.M.D
• Pain Clinic of Monterey Bay
• Pajaro Valley Community Health Trust
• Pajaro Valley Community Health Trust (Diabetes Health Center)
• Pajaro Valley Health Care District (Coastal Healthcare)
• Pajaro Valley Health Care District Hospital Corporation (Watsonville Community Hospital)

• Pain Medicine (Anesthesiology) Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.