Menlo Park Pain Relief Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16314 Issued in CA

Legal business name

MENLO PARK PAIN RELIEF CENTER

Practice address

1620 El Camino Real
Menlo Park, CA 94025-4112

Phone

(650) 380-0137

Fax

(650) 321-8815

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lewis Erwin Connor, DC

Title

Owner

Phone

(650) 380-0137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1407047715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254112",
            "telephone_number": "650-380-0137",
            "fax_number": "650-321-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254112",
            "telephone_number": "650-380-0137",
            "fax_number": "650-321-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-380-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "16314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinda Marian Mein, MD
• Jenna Mendonca
• Menlo Dermatology Medical Group and Laser Center Inc
• Menlo Park Ophthalmology Medical Group
• Menlo Park Pain Relief Center
• Menlo Park Plastic Surgery Center
• Menlo Park Surgical Hospital
• Menlo Speech Pathology Inc.
• Menlo Square Pharmacy
• Kristian Bowden Menotti, LCSW

• Clinic/Center in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.