Active NPI
Norcal Pain Treatment Center Corp
- Durable Medical Equipment & Medical Supplies
- Merced, CA
National Provider Identifier
1235879362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NORCAL PAIN TREATMENT CENTER CORP
- Practice address
- 123 W N Bear Creek Dr
Merced, CA 95348-3420 - Phone
- (209) 448-3000
- NPI assigned
- Mar 29, 2022
- 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
- Brenda Lindenberg
- Title
- Office Manager
- Phone
- (209) 484-2956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
123 W N Bear Creek Dr
Merced, CA 95348-3420
Mailing address
123 W North Bear Creek Dr
Merced, CA 95348-3420
Phone (209) 448-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220526001468 | CA | DME Supplier - Physician - Interventional Pain Management | 5698007086 | Practice locations: Merced, CA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Turlock, CA
- NPI 1720631708
5698007086
-
- Interventional Pain Medicine Physician
- Lodi, CA
- NPI 1801601109
5698007086
National Provider Directory
National Provider Directory- Tax ID family
- Norcal Pain Treatment Center Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Lodi, CA
- NPI 1801601109
-
- Clinic/Center
- Modesto, CA
- NPI 1518850569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1235879362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W NORTH BEAR CREEK DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953483420",
"telephone_number": "209-448-3000",
"fax_number": "209-442-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W N BEAR CREEK DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953483420",
"telephone_number": "209-448-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCAL PAIN TREATMENT CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "LINDENBERG",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "209-484-2956"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.