Active NPI
Regional Pain Treatment Medical Center Inc
- Interventional Pain Medicine Physician
- Fullerton, CA
National Provider Identifier
1275579195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- G59013
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275579195 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Regional Pain Treatment
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Fullerton, CA
- NPI 1710305644
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.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1659315190
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.