Organization Active NPI

Wolbers and Poree Medical Corp

  • Pain Medicine (Anesthesiology) Physician
  • Soquel, CA
National Provider Identifier
1487692158
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
WOLBERS AND POREE MEDICAL CORP
Practice address
2425 Porter St
Soquel, CA 95073-2444
Phone
(831) 296-5700
Fax
(831) 296-5701
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Dr. Linda L Wolbers, MD
Title
President
Phone
(831) 296-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2425 Porter St
Soquel, CA 95073-2444

Mailing address

2425 Porter St Ste 11
Soquel, CA 95073-2453
Phone (831) 296-5700

Other practice location 1

160 Green Valley Road
Ste #100
Freedom, CA 95019
Phone (831) 763-9700

Other identifiers 1

IdentifierTypeStateIssuer
352198100OtherCAUS DEPT OF LABOR

National Provider Directory

National Provider Directory
Tax ID family
Pain Clinic of Monterey Bay4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Green Valley Rd
Ste 100
Freedom, CA 95019
Phone (831) 763-9700

2425 Porter St
Soquel, CA 95073
Phone (831) 251-4922

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1487692158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PORTER ST STE 11",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732453",
            "telephone_number": "831-296-5700",
            "fax_number": "831-296-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PORTER ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732444",
            "telephone_number": "831-296-5700",
            "fax_number": "831-296-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Green Valley Road",
            "address_2": "Ste #100",
            "address_purpose": "LOCATION",
            "city": "Freedom",
            "state": "CA",
            "postal_code": "95019",
            "country_code": "US",
            "telephone_number": "831-763-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOLBERS AND POREE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "WOLBERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-296-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "352198100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.