Organization Active NPI

Michael Joseph

Doing business as Pain Relief Clinic of Marin

  • Chiropractor
  • San Rafael, CA
National Provider Identifier
1053505099
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18837 Issued in CA
Legal business name
MICHAEL JOSEPH
Doing business as
Pain Relief Clinic of Marin
Practice address
1050 Northgate Drive
Suite 130
San Rafael, CA 94903-2526
Phone
(415) 444-0700
Fax
(415) 444-0771
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Dr. Michael P. Joseph, D.C.NPI 1215189410
Title
Supervisor
Phone
(415) 444-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 18837 CA Primary

Addresses

Primary practice location

1050 Northgate Drive
Suite 130
San Rafael, CA 94903-2526

Mailing address

PO Box 6382
San Rafael, CA 94903-6832
Phone (415) 444-0700

Other names 1

  • Pain Relief Clinic of Marin Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1053505099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6382",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949036832",
            "telephone_number": "415-444-0700",
            "fax_number": "415-444-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DRIVE",
            "address_2": "SUITE 130",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032526",
            "telephone_number": "415-444-0700",
            "fax_number": "415-444-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JOSEPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "415-444-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Relief Clinic of Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.