Monterey Integrated Sports & Pain Associates a Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6978 Issued in CA

Legal business name

MONTEREY INTEGRATED SPORTS & PAIN ASSOCIATES A MEDICAL GROUP

Practice address

19 Upper Ragsdale Dr Ste 150
Monterey, CA 93940-7837

Phone

(831) 333-2100

Fax

(831) 333-2105

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Gerard Sorin Issvoran, DONPI 1558350272

Title

Physician

Phone

(831) 333-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Gerard S Issvoran, DO

  • Family Medicine Physician
  • Monterey, CA
  • NPI 1558350272
  Medicare reassignment NPD Authorized official
• Alina D Miller, FNP

  • Family Nurse Practitioner
  • Oro Valley, AZ
  • NPI 1336584739

  CA

  Medicare reassignment NPD
• Adrian Arthur Villarreal, D.O.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1306106877
  NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1609050137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 DEL MONTE CTR # 360B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406156",
            "telephone_number": "831-333-2100",
            "fax_number": "831-333-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 UPPER RAGSDALE DR STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407837",
            "telephone_number": "831-333-2100",
            "fax_number": "831-333-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY INTEGRATED SPORTS & PAIN ASSOCIATES A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "ISSVORAN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "SORIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "831-333-2100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monterey Eye LLC
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• Monterey Health Services, LLC
• Monterey Hospitalist Medical Group
• Monterey Institute Licensed Clinical Social Worker, Inc.
• Monterey Med Ink LLC
• Monterey Medical Center
• Monterey Orthopedic Physical Therapy
• Monterey Pathologists, a Medical Group, Inc.
• Monterey Peninsula Anesthesia Medical Group, Inc.

• Family Medicine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.