Organization Active NPI

Nor Cal Pain MGMT Group Inc

  • Pain Clinic/Center
  • Oakland, CA
National Provider Identifier
1790021715
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
NOR CAL PAIN MGMT GROUP INC
Practice address
5900 Shattuck Ave Ste 201
Oakland, CA 94609-1461
Phone
(909) 483-3530
Fax
(909) 380-7741
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Eduardo Anguizola, MD
Title
Owner
Phone
(909) 483-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

5900 Shattuck Ave Ste 201
Oakland, CA 94609-1461

Mailing address

5900 Shattuck Ave Ste 201
Oakland, CA 94609-1461
Phone (909) 483-3530

National Provider Directory

National Provider Directory
Tax ID family
Nor Cal Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1790021715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOR CAL PAIN MGMT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.