Park West Pain Clinic Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK WEST PAIN CLINIC INC

Practice address

171 Butcher Rd
#A
Vacaville, CA 95687-5656

Phone

(707) 474-4433

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Nirvana Kundu, MD

Title

President

Phone

(530) 665-3212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1144613878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BUTCHER RD",
            "address_2": "#A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875656",
            "telephone_number": "707-474-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 BUTCHER RD",
            "address_2": "#A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875656",
            "telephone_number": "707-474-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST PAIN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "KUNDU",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-665-3212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Samantha Lardizabal Pangilinan, BSN, RN
• Christina Pann, N.C.
• Roderic Brian Panzer, DDS
• Fred Walton Parham, M.D.
• Hardik D Parikh
• Park West Surgical Associates Inc
• Jae E. Park-Lin, D.D.S
• Jessie Myungah Park
• Julianne Marie Parker
• William Lawrence Parker, D.D.S.

• Ambulatory Surgical Clinic/Center in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.