Active NPI
New Directions Medical Center Inc
- Pain Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1326236449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- G55246
- Legal business name
- NEW DIRECTIONS MEDICAL CENTER INC
- Practice address
- 2135 Armory Dr
Suite 100
Santa Rosa, CA 95401-3610 - Phone
- (707) 575-1700
- Fax
- (707) 575-1755
- NPI assigned
- Oct 15, 2007
- Last updated
- Mar 25, 2008
- 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. Brian S Moore
- Title
- President
- Phone
- (707) 575-1700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | G55246 | CA | Primary |
Addresses
Primary practice location
2135 Armory Dr
Suite 100
Santa Rosa, CA 95401-3610
Mailing address
2135 Armory Dr
Suite 100
Santa Rosa, CA 95401-3610
Phone (707) 575-1700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Santa Rosa, CA
- NPI 1003084799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1326236449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 ARMORY DR",
"address_2": "SUITE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954013610",
"telephone_number": "707-575-1700",
"fax_number": "707-575-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 ARMORY DR",
"address_2": "SUITE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954013610",
"telephone_number": "707-575-1700",
"fax_number": "707-575-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DIRECTIONS MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-575-1700",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G55246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Mark Alan Netherda, M.D.
- Robynne Neuhaus, B.S. OTR/L
- Neuropsychological Assoc of Ca-a Professional Psychological Corp (Neuropsychological Associates Of CA)
- Carol Neves
- New Directions Adolescent Services, Inc
- New Ear Hearing Aid Center, Inc. (Natural Ear Hearing Aid Center)
- New Leaf Counseling and Psychotherapy
- New Rivers Alliance
- New Vistas Recovery, Inc. (Mountain Vista Farm)
- Kathryn Elaine Newburn, CNM, RNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.