Pain Management Specialists Medical Group

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP

Practice address

5000 San Palo Rd
Atascadero, CA 93422-2481

Phone

(805) 782-8132

NPI assigned

Apr 11, 2012

Last updated

Oct 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boris Pilch, MDNPI 1689739732

Title

Managing Partner

Phone

(805) 782-8132

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris Pilch, M.D.

  • Specialist
  • San Luis Obispo, CA
  • NPI 1689739732
  Authorized official Same address or phone

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1265798599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4659",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAN PALO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222481",
            "telephone_number": "805-782-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "PILCH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "805-782-8132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0105740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Pacheco Lara
• Pacific Central Coast Health Centers (Atascadero Pediatric Center)
• Pacific Central Coast Health Centers (Med Plus Atascadero)
• Michael Wayne Page, D.C.
• Bianca Pages
• Gabrielle Marie Paladino, MD
• Yamile Palomares Villalobos
• Jason Pambrun, D.D.S.
• Selena Pantoja Reyes
• Paradise Valley Care

• Interventional Pain Medicine Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.