Active NPI
Spectrumcare Rehabilitation Medical Center
- Pain Medicine Physician
- Napa, CA
National Provider Identifier
1477578201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- SPECTRUMCARE REHABILITATION MEDICAL CENTER
- Practice address
- 3434 Villa LN
Suite 150
Napa, CA 94558-6405 - Phone
- (707) 252-9666
- NPI assigned
- Jul 13, 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. Eric J Grigsby, M.D.
- Title
- Owner
- Phone
- (707) 252-9666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | G648480 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Psychiatry Physician | 2084P0800X | |||
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Pain Clinic/Center | 261QP3300X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
3434 Villa LN
Suite 150
Napa, CA 94558-6405
Mailing address
PO Box 5510
Napa, CA 94581-0510
Phone (707) 252-9666
Other names 2
- Napa Pain Institute
- Neurovations
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040916001372 | CA | Part B Supplier - Clinic/Group Practice | 2769450873 |
Receives reassigned benefits from 12 practitioners Practice locations: Napa, CA; Santa Rosa, CA |
| O20140609002377 | HI | Part B Supplier - Clinic/Group Practice | 2769450873 |
Receives reassigned benefits from 4 practitioners Practice locations: Koloa, HI |
National Provider Directory
National Provider DirectoryLocations
1827 E Fir Ave
#140
Fresno, CA 93720
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Santa Rosa, CA
- NPI 1548675663
CA
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Rosa, CA
- NPI 1730358532
CA, Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681862400000",
"number": "1477578201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5510",
"city": "NAPA",
"state": "CA",
"postal_code": "945810510",
"telephone_number": "707-252-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 VILLA LN",
"address_2": "SUITE 150",
"city": "NAPA",
"state": "CA",
"postal_code": "945586405",
"telephone_number": "707-252-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUMCARE REHABILITATION MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "GRIGSBY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-252-9666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "G648480",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Napa Pain Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Neurovations",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.