Active NPI
Sonoma Pain Management, Inc
- Neurology Physician
- Petaluma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A778242
- Legal business name
- SONOMA PAIN MANAGEMENT, INC
- Practice address
- 1456 Professional Dr Ste 402
Petaluma, CA 94954-6639 - Phone
- (707) 938-7951
- Fax
- (707) 938-7260
- NPI assigned
- Apr 28, 2011
- Last updated
- Jan 18, 2023
- 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. Aimee C Chagnon, MC
- Title
- President
- Phone
- (707) 938-7951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A778242 | CA | Primary |
Addresses
Primary practice location
1456 Professional Dr Ste 402
Petaluma, CA 94954-6639
Mailing address
1456 Professional Dr Ste 402
Petaluma, CA 94954-6639
Phone (707) 938-7951
Other names 1
- Aimee C Chagnon, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1456 Professional Dr
Ste 402
Petaluma, CA 94954
Phone (707) 781-9566
181 Andrieux St
Ste 206
Sonoma, CA 95476
Phone (707) 938-7951
357 Perkins St
Sonoma, CA 95476
Phone (707) 935-5600
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Petaluma, CA
- NPI 1548450448
-
- Neurology Physician
- Petaluma, CA
- NPI 1366547614
-
- Family Medicine Physician
- Point Reyes Station, CA
- NPI 1851408868
-
- Chiropractor
- Sonoma, CA
- NPI 1265550032
-
- Family Medicine Physician
- Petaluma, CA
- NPI 1417968512
-
- Internal Medicine Physician
- Petaluma, CA
- NPI 1871710871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1386935039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 PROFESSIONAL DR STE 402",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546639",
"telephone_number": "707-938-7951",
"fax_number": "707-938-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 PROFESSIONAL DR STE 402",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546639",
"telephone_number": "707-938-7951",
"fax_number": "707-938-7260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONOMA PAIN MANAGEMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-28",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "CHAGNON",
"authorized_official_first_name": "AIMEE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-938-7951",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MC"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A778242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aimee C Chagnon, MD",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Aimee C Chagnon, MD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.