Active NPI
Mountain Health Pain Management, Inc.
- Specialist
- Yuba City, CA
National Provider Identifier
1467428557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A30174
- Legal business name
- MOUNTAIN HEALTH PAIN MANAGEMENT, INC.
- Practice address
- 395 Del Norte Ave
Yuba City, CA 95991-4121 - Phone
- (530) 755-0857
- Fax
- (530) 755-0327
- NPI assigned
- Feb 27, 2006
- 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. Octavio D Camasura, M.D.
- Title
- Medical Director
- Phone
- (530) 755-0857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A30174 | CA | Primary |
Addresses
Primary practice location
395 Del Norte Ave
Yuba City, CA 95991-4121
Mailing address
395 Del Norte Ave
Yuba City, CA 95991-4121
Phone (530) 755-0857
National Provider Directory
National Provider DirectoryLocations
395 Del Norte Ave
Yuba City, CA 95991
Phone (530) 673-7777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467428557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 DEL NORTE AVE",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914121",
"telephone_number": "530-755-0857",
"fax_number": "530-755-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 DEL NORTE AVE",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914121",
"telephone_number": "530-755-0857",
"fax_number": "530-755-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN HEALTH PAIN MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMASURA",
"authorized_official_first_name": "OCTAVIO",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "530-755-0857",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A30174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.