Organization Active NPI

Pain Cure Center, Inc.

  • Massage Therapist
  • Palo Alto, CA
National Provider Identifier
1407132095
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24005 Issued in CA
Legal business name
PAIN CURE CENTER, INC.
Practice address
430 Sherman Ave Ste 205
Palo Alto, CA 94306-1853
Phone
(650) 701-7246
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Charles C Koo, MT PRACTITIONERNPI 1194001875
Title
Managing Director
Phone
(650) 996-8168

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 13982 CA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 24005 CA Primary

Addresses

Primary practice location

430 Sherman Ave Ste 205
Palo Alto, CA 94306-1853

Mailing address

430 Sherman Ave Ste 205
Palo Alto, CA 94306-1853
Phone (650) 701-7246

National Provider Directory

National Provider Directory

Locations

430 Sherman Ave
Ste 205
Palo Alto, CA 94306
Phone (650) 701-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1407132095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHERMAN AVE STE 205",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061853",
            "telephone_number": "650-701-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SHERMAN AVE STE 205",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061853",
            "telephone_number": "650-701-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CURE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "650-996-8168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MT PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13982",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "24005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.