Acadia Pain Management Group, Inc.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ACADIA PAIN MANAGEMENT GROUP, INC.

Practice address

4704 Hoen Ave
Santa Rosa, CA 95405-7824

Phone

(707) 546-7979

Fax

(707) 546-7667

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Long Tran, M.D.NPI 1013927110

Title

Medical Director/President

Phone

(707) 546-7979

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Long Tran, MD

  • Anesthesiology Physician
  • Santa Rosa, CA
  • NPI 1013927110

  Pain Medicine

  Medicare reassignment NPD Authorized official
• Joann Rosenfeld, MD

  • Family Medicine Physician
  • Angels Camp, CA
  • NPI 1215031588
  Medicare reassignment NPD
• Robert S Cluff, MD

  • Neurology Physician
  • Antioch, CA
  • NPI 1982623484

  Multi-Specialty

  NPD (past)
• Charles Wayne Evans, M.D.

  • Anesthesiology Physician
  • Santa Rosa, CA
  • NPI 1073689766
  NPD (past)
• William Francis Kivett, MD, FAAD, FACS

  • Plastic and Reconstructive Surgery Physician
  • Santa Rosa, CA
  • NPI 1235175902
  NPD (past)
• Tobey M Leung, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chico, CA
  • NPI 1720020571
  NPD (past)
• Michael Ishu Yang, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
  • NPI 1063665438
  NPD (past)
• Thomas Frederick Yatteau

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1215947882
  NPD (past)
• Gregory Alan Hamon, MD

  • Surgery Physician
  • San Antonio, TX
  • NPI 1225033194
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1154630044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-546-7979",
            "fax_number": "707-546-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-546-7979",
            "fax_number": "707-546-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA PAIN MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "707-546-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EZ666A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Anne Abud, MA
• Taghrid Abuelqasem, RPH
• Hans Mogeni Abuki
• Abundance Acupuncture Healing Clinic
• Beysaira Abundiz
• Sonali Marfatia Acharya, BDS, MDS, DMD
• Anna Ackerman, RN
• Gregory T. Ackroyd, M.D.
• Sharon Diane Ackroyd, M.F.T.
• Desaree Ashley Acosta

• Pain Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.