Nor Cal Pain Management

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A28494 Issued in CA

Legal business name

NOR CAL PAIN MANAGEMENT

Practice address

5900 Shattuck Ave Ste 201
Oakland, CA 94609-1461

Phone

(877) 882-9832

Fax

(909) 380-7741

NPI assigned

Mar 29, 2014

Organization subpart

No

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

Authorized official

Name

Eduardo Anguizola, MD

Title

Medical Director

Phone

(877) 882-9832

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Nor Cal Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nor Cal Pain MGMT Group Inc

  • Pain Clinic/Center
  • Oakland, CA
  • NPI 1790021715
  NPD tax ID

Locations

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1104244029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "877-882-9832",
            "fax_number": "909-380-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "877-882-9832",
            "fax_number": "909-380-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOR CAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "877-882-9832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "26628",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PSY6247",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "A28494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A28494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Noonan, M.F.T., N.C.C.
• Rebecca Marie Noonan, DPT
• Zarin Noor, MD
• Millad Nooraei, MA
• Sophia Sabrina Noory, AMFT
• Nor Cal Pain MGMT Group Inc
• Nor Cal Urology Medical Group Inc
• Nora L. Ebio D.M.D., D.D.S.
• Norcal Imaging
• Norcal Urology

• Medical Physician Assistant in Oakland, CA
• Providers in Oakland, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.