Organization Active NPI

Silicon Valley TMS of Monterey Bay

  • Pain Medicine Physician
  • Soquel, CA
National Provider Identifier
1114477452
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Oct 18, 2022

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.