Abaci and Massey Pain Management Center, a Medical Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ABACI AND MASSEY PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION

Practice address

1050 Northgate Dr
Suite 460
San Rafael, CA 94903-2526

Phone

(415) 461-7246

Fax

(415) 461-2476

NPI assigned

Apr 4, 2013

Organization subpart

Yes

Parent organization

BAPWC MEDICAL GROUP, INCAs reported in NPPES

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

Authorized official

Name

Gary A. Peltz, MD

Title

President

Phone

(415) 461-7246

Specialties & licenses 3

Addresses

Other names 1

• Bay Area Pain & Wellness Center Doing business as

Tax ID family

Abaci Massey Pain MGT Ctr3 organizations share this tax ID, including this one

Part of

Abaci Massey Pain MGT Ctr

Other organizations with this tax ID 2

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

• Abaci and Massey Pain Management

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1487975199
  NPD tax ID
• Abaci and Massey Pain Management, a Medical Coporation

  • Marriage & Family Therapist
  • Los Gatos, CA
  • NPI 1710433594
  NPD tax ID

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1306189691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR",
            "address_2": "SUITE 460",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032526",
            "telephone_number": "415-461-7246",
            "fax_number": "415-461-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR",
            "address_2": "SUITE 460",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032526",
            "telephone_number": "415-461-7246",
            "fax_number": "415-461-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACI AND MASSEY PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPWC MEDICAL GROUP, INC",
        "enumeration_date": "2013-04-04",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "PELTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-461-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Pain & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael P. Aaronson, DDS
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• Lorretta Joy Abbott, M.S.
• Sarah Aboueljoud
• Emma Abramyan, DDS
• Acclaim Home Care Inc.

• All providers in San Rafael, CA
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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.