Active NPI
Pain Rehab Care Medical Clinic, Inc
- Specialist
- San Jose, CA
National Provider Identifier
1447418108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A460240
- Legal business name
- PAIN REHAB CARE MEDICAL CLINIC, INC
- Practice address
- 1865 Alum Rock Ave
Suite a
San Jose, CA 95116-1396 - Phone
- (408) 258-3229
- NPI assigned
- May 29, 2008
- 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. Tuyen Ngoc Ngo, MD
- Title
- President
- Phone
- (408) 258-3229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A460240 | CA | Primary |
Addresses
Primary practice location
1865 Alum Rock Ave
Suite a
San Jose, CA 95116-1396
Mailing address
1865 Alum Rock Ave
Suite a
San Jose, CA 95116-1396
National Provider Directory
National Provider DirectoryLocations
1865 Alum Rock Ave
Ste A
San Jose, CA 95116
Phone (408) 258-3229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1447418108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 ALUM ROCK AVE",
"address_2": "SUITE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 ALUM ROCK AVE",
"address_2": "SUITE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161396",
"telephone_number": "408-258-3229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN REHAB CARE MEDICAL CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "NGO",
"authorized_official_first_name": "TUYEN",
"authorized_official_middle_name": "NGOC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-258-3229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A460240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.