Active NPI
Wolbers and Poree Medical Corp
- Pain Medicine (Anesthesiology) Physician
- Soquel, CA
National Provider Identifier
1487692158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352198100 | Other | CA | US DEPT OF LABOR |
National Provider Directory
National Provider Directory- Tax ID family
- Pain Clinic of Monterey Bay
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Watsonville, CA
- NPI 1013955814
-
- Pain Medicine (Anesthesiology) Physician
- Santa Cruz, CA
- NPI 1104864909
-
- Pain Medicine (Anesthesiology) Physician
- Watsonville, CA
- NPI 1548200017
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.
-
- Interventional Pain Medicine Physician
- San Francisco, CA
- NPI 1457391922
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.