Organization Active NPI

Pain Rehab Care Medical Clinic, Inc

  • Specialist
  • San Jose, CA
National Provider Identifier
1447418108
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A460240 Issued in CA
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

Updated by the provider on May 29, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.