Organization Active NPI

MJ Silva Medical Corporation

  • Interventional Pain Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1023833258
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MJ SILVA MEDICAL CORPORATION
Practice address
380 Sierra College Dr Ste 200
Grass Valley, CA 95945-5092
Phone
(530) 477-0893
Fax
(530) 477-1450
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Marcelina Jasmine Silva, MD
Title
Owner
Phone
(415) 379-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

380 Sierra College Dr Ste 200
Grass Valley, CA 95945-5092

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (877) 747-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114001534 CA Part B Supplier - Clinic/Group Practice 9830627165 Receives reassigned benefits from 1 practitioner
Practice locations: Grass Valley, CA; Roseville, CA

National Provider Directory

National Provider Directory

Locations

111 Bank St
Grass Valley, CA 95945
Phone (530) 263-1413

Practitioners & affiliated clinicians

Practitioners 8

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1023833258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "877-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455092",
            "telephone_number": "530-477-0893",
            "fax_number": "530-477-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ SILVA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARCELINA",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-379-0701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.