Integrated Pain Care Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A77502 Issued in CA

Legal business name

INTEGRATED PAIN CARE INC

Practice address

3065 Richmond Pkwy
Suite 101
Richmond, CA 94806-5719

Phone

(415) 279-7393

Fax

(800) 806-5602

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Gary Martinovsky, M.D.

Title

Officer

Phone

(415) 279-7393

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Denise Ellison

  • Adult Health Nurse Practitioner
  • San Pablo, CA
  • NPI 1225495757
  NPD (past)
• Moges Lemma Hailemariam, FNP/DNP

  • Family Nurse Practitioner
  • Emeryville, CA
  • NPI 1750031068
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1447517404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 RICHMOND PKWY",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065719",
            "telephone_number": "415-279-7393",
            "fax_number": "800-806-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 RICHMOND PKWY",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065719",
            "telephone_number": "415-279-7393",
            "fax_number": "800-806-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTINOVSKY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "415-279-7393",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A77502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahreen Imam, D.D.S.
• Jane Cathy Inaura, N.P.
• Ivan Josue Iniguez, MD
• Inspiring Communities
• Inspiring Communities
• Jill Interrante, LCSW
• Suzanne E. Ishii, DPM
• Monica Lisette Islas, ATC
• Kyle Gregory Isom
• Melissa Itsara

• Pain Medicine (Anesthesiology) Physician in Richmond, CA
• Providers in Richmond, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.