NPIMap

Organization Active NPI

Non-Surgical Pain Relief Center, Inc.

  • Family Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1740586452
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11937 Issued in CA
Legal business name
NON-SURGICAL PAIN RELIEF CENTER, INC.
Practice address
1811 Santa Rita Rd Ste 118
Pleasanton, CA 94566-4741
Phone
(925) 484-3472
Fax
(925) 484-1889
NPI assigned
Jan 28, 2011
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Ronald R Vernon, D.C.NPI 1053592287
Title
Clinic Director
Phone
(925) 484-3472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A11937 CA Primary

Addresses

Primary practice location

1811 Santa Rita Rd Ste 118
Pleasanton, CA 94566-4741

Mailing address

1811 Santa Rita Rd Ste 118
Pleasanton, CA 94566-4741
Phone (925) 484-3472

National Provider Directory

National Provider Directory

Locations

1811 Santa Rita Rd
Ste 118
Pleasanton, CA 94566
Phone (925) 484-3472

Practitioners & affiliated clinicians

Practitioners 4

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": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1740586452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SANTA RITA RD STE 118",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664741",
            "telephone_number": "925-484-3472",
            "fax_number": "925-484-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SANTA RITA RD STE 118",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664741",
            "telephone_number": "925-484-3472",
            "fax_number": "925-484-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-SURGICAL PAIN RELIEF CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "925-484-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11937",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2012; 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.