Organization Active NPI

Pain Medicine Consultants, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Pleasanton, CA
National Provider Identifier
1255633707
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN MEDICINE CONSULTANTS, INC.
Practice address
5924 Stoneridge Dr
Suite 102
Pleasanton, CA 94588-2887
Phone
(925) 287-1256
Fax
(925) 287-0913
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Richard Craig Shinaman, M.D.
Title
Partner
Phone
(925) 287-1256

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X CA

Addresses

Primary practice location

5924 Stoneridge Dr
Suite 102
Pleasanton, CA 94588-2887

Mailing address

100 N Wiget LN
Suite 160
Walnut Creek, CA 94598-5988
Phone (925) 287-1256

National Provider Directory

National Provider Directory

Locations

100 N Wiget Ln
Ste 160
Walnut Creek, CA 94598
Phone (800) 242-9581

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1255633707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "SUITE 160",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR",
            "address_2": "SUITE 102",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882887",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "SHINAMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-287-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.