Organization Active NPI

Pain Allevia Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
National Provider Identifier
1356795157
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A103353 Issued in CA
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

Updated by the provider on Apr 18, 2016

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.