NPIMap

Organization Active NPI

Pain Medicine Consultans

  • Non-Pharmacy Dispensing Site
  • Pleasanton, CA
National Provider Identifier
1679892954
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PAIN MEDICINE CONSULTANS
Practice address
5924 Stoneridge Dr # 102
Pleasanton, CA 94588-2887
Phone
(925) 400-4040
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Richard Shinaman
Title
Partner
Phone
(925) 287-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5924 Stoneridge Dr # 102
Pleasanton, CA 94588-2887

Mailing address

100 N Wiget LN Ste 160
Walnut Creek, CA 94598-5917
Phone (925) 287-1505

Other identifiers 1

IdentifierTypeStateIssuer
1831327055OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
Pain Medicine Consultants4 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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1679892954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN STE 160",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985917",
            "telephone_number": "925-287-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR # 102",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882887",
            "telephone_number": "925-400-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE CONSULTANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SHINAMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-287-1505"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831327055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.