NPIMap

Organization Active NPI

Paincare of Silicon Valley, a Medical Corporation

  • Interventional Pain Medicine Physician
  • San Jose, CA
National Provider Identifier
1326351248
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAINCARE OF SILICON VALLEY, A MEDICAL CORPORATION
Practice address
2101 Forest Ave
Suite 220a
San Jose, CA 95128-1448
Phone
(408) 295-8628
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Justin Lo, M.D.NPI 1407818370
Title
Physician / Owner
Phone
(408) 295-8628

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2101 Forest Ave
Suite 220a
San Jose, CA 95128-1448

Mailing address

2101 Forest Ave
Suite 220a
San Jose, CA 95128-1448
Phone (408) 295-8628

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1326351248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "SUITE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281448",
            "telephone_number": "408-295-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "SUITE 220A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281448",
            "telephone_number": "408-295-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINCARE OF SILICON VALLEY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "408-295-8628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.