Active NPI
Pacific Pain Treatment Center
- Interventional Pain Medicine Physician
- San Francisco, CA
National Provider Identifier
1043211147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- G23073
- Legal business name
- PACIFIC PAIN TREATMENT CENTER
- Practice address
- 2000 Van Ness Ave
Suite #402
San Francisco, CA 94109-3023 - Phone
- (415) 567-1219
- Fax
- (415) 567-2534
- NPI assigned
- Aug 10, 2005
- 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
- Mrs. Rosellen M Krames, RN BSN
- Title
- Practice Administrator
- Phone
- (415) 567-1219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | G23073 | CA | Primary |
Addresses
Primary practice location
2000 Van Ness Ave
Suite #402
San Francisco, CA 94109-3023
Mailing address
2000 Van Ness Ave
Suite #402
San Francisco, CA 94109-3023
Phone (415) 567-1219
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069910 | Medicaid | CA | |
| ZZZ43183Z | Other | CA | BLUE SHEILD |
| G23073 | Other | CA | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
2000 Van Ness Ave
Ste 402
San Francisco, CA 94109
Phone (415) 567-1219
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- San Francisco, CA
- NPI 1609096536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043211147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 VAN NESS AVE",
"address_2": "SUITE #402",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093023",
"telephone_number": "415-567-1219",
"fax_number": "415-567-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VAN NESS AVE",
"address_2": "SUITE #402",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093023",
"telephone_number": "415-567-1219",
"fax_number": "415-567-2534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC PAIN TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRAMES",
"authorized_official_first_name": "ROSELLEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "415-567-1219",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "G23073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "ZZZ43183Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G23073",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Pacific Medical, Inc.
- Pacific Neurodiagnostics LLC
- Pacific Neurophysiolgical Systems
- Pacific Neurophysiological Systems
- Pacific Oral Pathology Laboratory
- Pacific Pediatrics Med GRP Inc
- Pacific Reproductive Services
- Pacific Reproductive Services, Inc.
- Pacific Rheumatology Associates Medical Group
- Pacific Specialist Surgical Center LLC
Sources for this page
- 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.