Organization Active NPI

Pain Management & Holistic Health Center

Doing business as Pain Management Center

  • Primary Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1730192725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C51516 Issued in CA
Legal business name
PAIN MANAGEMENT & HOLISTIC HEALTH CENTER
Doing business as
Pain Management Center
Practice address
2919 The Villages Pkwy
San Jose, CA 95135-1442
Phone
(408) 528-7246
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mahendra P Mehta, MDNPI 1710937875
Title
Owner
Phone
(408) 528-7246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C51516 CA Primary

Addresses

Primary practice location

2919 The Villages Pkwy
San Jose, CA 95135-1442

Mailing address

5911 Killarney Cir
San Jose, CA 95138-2349
Phone (408) 528-7246

Other names 1

  • PAIN MANAGEMENT CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2919 The Villages Pkwy
San Jose, CA 95135
Phone (408) 274-2244

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730192725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 KILLARNEY CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382349",
            "telephone_number": "408-528-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 THE VILLAGES PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351442",
            "telephone_number": "408-528-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & HOLISTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-528-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C51516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN MANAGEMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.