Active NPI
Pain Allevia Medical Corporation
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Diego, CA
National Provider Identifier
1356795157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A103353
- Legal business name
- PAIN ALLEVIA MEDICAL CORPORATION
- Practice address
- 16466 Bernardo Center Dr
Suite 150
San Diego, CA 92128-2522 - Phone
- (858) 453-7700
- Fax
- (858) 798-1225
- NPI assigned
- Apr 18, 2016
- 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. Timothy Daniel Chong, M.D.
- Title
- President
- Phone
- (858) 453-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A103353 | CA | Primary |
Addresses
Primary practice location
16466 Bernardo Center Dr
Suite 150
San Diego, CA 92128-2522
Mailing address
PO Box 501724
San Diego, CA 92150-1724
Phone (858) 453-7700
National Provider Directory
National Provider Directory- Tax ID family
- Pain Allevia Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Poway, CA
- NPI 1053659995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460937600000",
"number": "1356795157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501724",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921501724",
"telephone_number": "858-453-7700",
"fax_number": "858-798-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16466 BERNARDO CENTER DR",
"address_2": "SUITE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282522",
"telephone_number": "858-453-7700",
"fax_number": "858-798-1225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN ALLEVIA MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A",
"authorized_official_last_name": "CHONG",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-453-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A103353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.