Active NPI
Alameda Pacific Medical Group
- Pain Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1033967955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- ALAMEDA PACIFIC MEDICAL GROUP
- Practice address
- 1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314 - Phone
- (341) 217-8411
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Feliciano
- Title
- Admin
- Phone
- (910) 632-0974
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Occupational Medicine Physician | 2083X0100X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314
Mailing address
C/O Jacob Horn
PO Box 722
Berkeley, CA 94701
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1164838181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1033967955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O JACOB HORN",
"address_2": "PO BOX 722",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 MARIA LN STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965314",
"telephone_number": "341-217-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMEDA PACIFIC MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "FELICIANO",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "910-632-0974"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.