NPIMap

Organization Active NPI

Pacific Interventional Neurosciences

  • Neurological Surgery Physician
  • Redding, CA
National Provider Identifier
1427735612
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PACIFIC INTERVENTIONAL NEUROSCIENCES
Practice address
2420 Sonoma Street
Redding, CA 96001-3033
Phone
(530) 999-2533
Fax
(530) 999-2532
NPI assigned
Jun 29, 2023
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Peter Joseph Sunenshine, MDNPI 1487610937
Title
Authorized Official
Phone
(530) 999-2533

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
Neurological Surgery Physician 207T00000X Primary
Neuroradiology Physician 2085N0700X

Addresses

Primary practice location

2420 Sonoma Street
Redding, CA 96001-3033

Mailing address

2420 Sonoma Street
Redding, CA 96001-3033
Phone (530) 999-2533

Other practice location 1

2175 Rosaline Avenue
Redding, CA 96001-2549
Phone (530) 999-2533

Other practice location 2

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000655 CA Part B Supplier - Clinic/Group Practice 4981051042 Receives reassigned benefits from 14 practitioners
Practice locations: Fullerton, CA; Orange, CA; Redding, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2420 Sonoma St
Redding, CA 96001
Phone (530) 999-2533

901 H St
Ste 120
Sacramento, CA 95814
Phone (818) 212-9369

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1427735612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SONOMA STREET",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SONOMA STREET",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Rosaline Avenue",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012549",
            "country_code": "US",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 N Harbor Blvd",
            "address_2": "Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "92835",
            "country_code": "US",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC INTERVENTIONAL NEUROSCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SUNENSHINE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "530-999-2533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.

Verify at the official NPI Registry.