Active NPI
Pain Rehabilitation Institute, Inc.
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- PAIN REHABILITATION INSTITUTE, INC.
- Practice address
- 1705 Baroness Way
Roseville, CA 95747-5029 - Phone
- (916) 865-4323
- Fax
- (916) 749-3063
- NPI assigned
- Oct 2, 2014
- 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
- Dr. Pacito Ver Yabes, M.D.
- Title
- President
- Phone
- (916) 258-3528
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A83769 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | Primary |
Addresses
Primary practice location
1705 Baroness Way
Roseville, CA 95747-5029
Mailing address
1705 Baroness Way
Roseville, CA 95747-5029
Phone (916) 258-3528
Other practice location 1
406 Sunrise Ave Ste 320
Roseville, CA 95661-4106
Phone (916) 865-4323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
406 Sunrise Ave
Ste 320
Roseville, CA 95661
Phone (916) 865-4323
1 Medical Plaza Dr
Bldg 6
Roseville, CA 95661
10 Advantage Ct
Sacramento, CA 95834
Phone (279) 499-1501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Roseville, CA
- NPI 1720156722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1174926299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 BARONESS WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475029",
"telephone_number": "916-258-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 BARONESS WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957475029",
"telephone_number": "916-865-4323",
"fax_number": "916-749-3063"
}
],
"practiceLocations": [
{
"address_1": "406 Sunrise Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956614106",
"country_code": "US",
"telephone_number": "916-865-4323",
"fax_number": "916-749-3063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAIN REHABILITATION INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-02",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "YABES",
"authorized_official_first_name": "PACITO",
"authorized_official_middle_name": "VER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-258-3528",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A83769",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.