Active NPI
Integrated Pain Care
- Preferred Provider Organization
- San Francisco, CA
National Provider Identifier
1063744845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- A77502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.