Organization Active NPI

Integrated Pain Care

  • Preferred Provider Organization
  • San Francisco, CA
National Provider Identifier
1063744845
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A77502 Issued in CA
Legal business name
INTEGRATED PAIN CARE
Practice address
2 Mercato Court
San Francisco, CA 94131
Phone
(510) 758-7462
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Ms. Elizabeth Domingo
Title
Authorization
Phone
(510) 758-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A77502 CA Primary

Addresses

Primary practice location

2 Mercato Court
San Francisco, CA 94131

Mailing address

3065 Richmond Parkway
101
Richmond, CA 94806
Phone (510) 758-7462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1063744845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 RICHMOND PARKWAY",
            "address_2": "101",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-758-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERCATO COURT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94131",
            "telephone_number": "510-758-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZATION",
        "authorized_official_telephone_number": "510-758-7462",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A77502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.