Organization Active NPI

Pain Control & Sports Medicine

  • Health Service Clinic/Center
  • San Jose, CA
National Provider Identifier
1720865421
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PAIN CONTROL & SPORTS MEDICINE
Practice address
4040 Moorpark Ave Ste 104
San Jose, CA 95117-1851
Phone
(626) 512-6221
NPI assigned
Sep 14, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Ying ZhangNPI 1801566757
Title
Manager
Phone
(626) 512-6221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

4040 Moorpark Ave Ste 104
San Jose, CA 95117-1851

Mailing address

4040 Moorpark Ave Ste 104
San Jose, CA 95117-1851

National Provider Directory

National Provider Directory

Locations

4040 Moorpark Ave
Ste 104
San Jose, CA 95117
Phone (408) 320-2881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1720865421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MOORPARK AVE STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MOORPARK AVE STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171851",
            "telephone_number": "626-512-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONTROL & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "YING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-512-6221"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.