Organization Active NPI

Service International,Inc.

Doing business as Pain and Stress Acupuncture Center

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Escondido, CA
National Provider Identifier
1326101502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
AC 6841 Issued in CA
Legal business name
SERVICE INTERNATIONAL,INC.
Doing business as
Pain and Stress Acupuncture Center
Practice address
750 E Grand Ave
Suite a
Escondido, CA 92025-4460
Phone
(760) 738-7008
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Conrado Ebreo Castro Jr.
Title
President
Phone
(760) 738-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X AC 6841 CA Primary

Addresses

Primary practice location

750 E Grand Ave
Suite a
Escondido, CA 92025-4460

Mailing address

120 Neptune PL
Escondido, CA 92026-2076
Phone (760) 739-1949

Other identifiers 1

IdentifierTypeStateIssuer
AC0068410OtherCAMEDICAL PROVIDER NO.

Other names 1

  • PAIN AND STRESS ACUPUNCTURE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

750 E Grand Ave
Ste A
Escondido, CA 92025
Phone (619) 701-2546

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326101502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEPTUNE PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262076",
            "telephone_number": "760-739-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E GRAND AVE",
            "address_2": "SUITE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254460",
            "telephone_number": "760-738-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE INTERNATIONAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO  JR.",
        "authorized_official_first_name": "CONRADO",
        "authorized_official_middle_name": "EBREO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-738-7008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "AC 6841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NO.",
            "identifier": "AC0068410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN AND STRESS ACUPUNCTURE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.