Summit Pain Alliance Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A112702 Issued in CA

Legal business name

SUMMIT PAIN ALLIANCE INC

Practice address

392 Tesconi CT
Santa Rosa, CA 95401-4653

Phone

(707) 623-9803

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Michael I Yang, MDNPI 1063665438

Title

Medical Doctor

Phone

(707) 623-9803

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 9

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

• Michael Ishu Yang, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
  • NPI 1063665438
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela Lea Coyne, FNP

  • Nurse Practitioner
  • Pleasant Hill, CA
  • NPI 1093902058
  Medicare reassignment Care Compare group NPD
• John Hau, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
  • NPI 1922231042
  Medicare reassignment Care Compare group NPD
• Krupaliben Patel

  • Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1801597356

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Barbara Ann Kangas, NP

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1649579343
  Medicare reassignment Care Compare group
• David Ha

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1629452099
  Medicare reassignment NPD
• Lucas W Konovalenko, MD

  • Pain Medicine (Anesthesiology) Physician
  • Napa, CA
  • NPI 1699972679
  Medicare reassignment NPD
• Morgan Alexander Welch, D.O.

  • Anesthesiology Physician
  • Santa Rosa, CA
  • NPI 1851827315

  Single Specialty

  Medicare reassignment NPD
• Eric Lee

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
  • NPI 1629225032

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1558630020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653",
            "telephone_number": "707-623-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653",
            "telephone_number": "707-623-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PAIN ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "707-623-9803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A112702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FS634A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Sultana
• Peter Sultana
• Roy Kazuo Sumida, M.D.
• Thad Summary
• Summerfield Opticians
• Jennifer Sumpango
• Chandi Sun, PHARMD
• Support Our Students
• Katrina Lynne Suprise, LCSW
• Marie Eleese Surber

• Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.

Verify at the official NPI Registry.