NPIMap

Organization Active NPI

Wolbers and Poree Medical Corp

  • Interventional Pain Medicine Physician
  • Aptos, CA
National Provider Identifier
1467679977
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A66092 Issued in CA
Legal business name
WOLBERS AND POREE MEDICAL CORP
Practice address
9057C Soquel Dr
Suite # a
Aptos, CA 95003-4052
Phone
(831) 684-0600
Fax
(831) 684-0606
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Linda L Wolbers, M.D.
Title
Ceo
Phone
(831) 684-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X G80646 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X A66092 CA Primary

Addresses

Primary practice location

9057C Soquel Dr
Suite # a
Aptos, CA 95003-4052

Mailing address

9057C Soquel Dr
Suite # a
Aptos, CA 95003-4052
Phone (831) 684-0600

Other names 1

  • Pain Clinic of Monterey Bay Doing business as

National Provider Directory

National Provider Directory

Locations

9057C Soquel Dr
Ste A
Aptos, CA 95003
Phone (831) 684-0600

8057 Valencia St
#A
Aptos, CA 95003
Phone (831) 684-0600

55 Penny Ln
Watsonville, CA 95076
Phone (831) 621-2560

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1467679977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057C SOQUEL DR",
            "address_2": "SUITE # A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034052",
            "telephone_number": "831-684-0600",
            "fax_number": "831-684-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057C SOQUEL DR",
            "address_2": "SUITE # A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034052",
            "telephone_number": "831-684-0600",
            "fax_number": "831-684-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLBERS AND POREE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "WOLBERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-684-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G80646",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A66092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Clinic of Monterey Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.