Organization Active NPI

Regional Pain Treatment Medical Center Inc

  • Interventional Pain Medicine Physician
  • Fullerton, CA
National Provider Identifier
1275579195
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G59013 Issued in CA
Legal business name
REGIONAL PAIN TREATMENT MEDICAL CENTER INC
Practice address
295 Imperial Hwy
Suite 100
Fullerton, CA 92835-1020
Phone
(714) 770-8300
Fax
(714) 770-8311
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Rodolfo Gari, M.D.
Title
Physician
Phone
(813) 549-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X G59013 CA Primary

Addresses

Primary practice location

295 Imperial Hwy
Suite 100
Fullerton, CA 92835-1020

Mailing address

PO Box 947831
Atlanta, GA 30394-7831
Phone (714) 770-8300

Other identifiers 1

IdentifierTypeStateIssuer
1275579195MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Regional Pain Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

292 Imperial Hwy
Fullerton, CA 92835

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1275579195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947831",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947831",
            "telephone_number": "714-770-8300",
            "fax_number": "714-770-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351020",
            "telephone_number": "714-770-8300",
            "fax_number": "714-770-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PAIN TREATMENT MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "GARI",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-549-2134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G59013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275579195",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.