Active NPI
Silicon Valley TMS of Monterey Bay
- Pain Medicine Physician
- Soquel, CA
National Provider Identifier
1114477452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- SILICON VALLEY TMS OF MONTEREY BAY
- Practice address
- 2425 Porter St
Suite 11
Soquel, CA 95073-2444 - Phone
- (831) 296-5700
- Fax
- (831) 296-5701
- NPI assigned
- Oct 11, 2016
- 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
- Elliott Richelson, M.D.
- Title
- Director, President, Treasurer
- Phone
- (252) 733-7374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
2425 Porter St
Suite 11
Soquel, CA 95073-2444
Mailing address
2425 Porter St
Soquel, CA 95073-2444
Phone (831) 296-5700
National Provider Directory
National Provider DirectoryLocations
2425 Porter St
Ste 11
Soquel, CA 95073
Phone (831) 296-5700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- San Jose, CA
- NPI 1245367374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1114477452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 PORTER ST",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732444",
"telephone_number": "831-296-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 PORTER ST",
"address_2": "SUITE 11",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732444",
"telephone_number": "831-296-5700",
"fax_number": "831-296-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILICON VALLEY TMS OF MONTEREY BAY",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "RICHELSON",
"authorized_official_first_name": "ELLIOTT",
"authorized_official_title_or_position": "DIRECTOR, PRESIDENT, TREASURER",
"authorized_official_telephone_number": "252-733-7374",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.