North Bay Pain Care

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

00G55246 Issued in CA

Legal business name

NORTH BAY PAIN CARE

Practice address

2135 Armory Dr
Suite 100
Santa Rosa, CA 95401-3610

Phone

(707) 575-1700

Fax

(707) 575-1755

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian Scott Moore

Title

Clinic Director

Phone

(707) 575-1700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1679744429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 ARMORY DRIVE",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-575-1700",
            "fax_number": "707-575-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 ARMORY DR",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013610",
            "telephone_number": "707-575-1700",
            "fax_number": "707-575-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "707-575-1700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "00G55246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Bay Foot and Ankle Clinic, Inc
• North Bay Medical Group Surgery Center
• North Bay Medical Group, Inc.
• North Bay Neuropsychology a Psychology Corporation
• North Bay Neurosurgical Associates Medical Group
• North Bay Psychiatric Associates Inc
• North Bay Sleep Medicine Institute, Inc.
• North Coast Faculty Medical Group Inc
• North Coast Faculty Medical Group Inc.
• North Coast Hospitalist, PC

• Pain Medicine (Anesthesiology) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.