Active NPI
Service International,Inc.
Doing business as Pain and Stress Acupuncture Center
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Escondido, CA
National Provider Identifier
1326101502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- AC 6841
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0068410 | Other | CA | MEDICAL PROVIDER NO. |
Other names 1
- PAIN AND STRESS ACUPUNCTURE CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Escondido, CA
- NPI 1255493979
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.