Roseville Pain Management, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A87937 Issued in CA

Legal business name

ROSEVILLE PAIN MANAGEMENT, INC

Practice address

729 Sunrise Ave
Suite 612
Roseville, CA 95661-4565

Phone

(916) 786-3222

Fax

(916) 786-6636

NPI assigned

Apr 21, 2009

Last updated

Apr 21, 2009By 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

Cheryl Char

Title

Manager

Phone

(916) 786-3222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1033353065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 612",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614565",
            "telephone_number": "916-786-3222",
            "fax_number": "916-786-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 612",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614565",
            "telephone_number": "916-786-3222",
            "fax_number": "916-786-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE PAIN MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "CHAR",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-786-3222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A87937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Roseville, CA
• Providers in Roseville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.