Sequoia Family Medical Group, Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SEQUOIA FAMILY MEDICAL GROUP, INC.

Doing business as

Pacific Pain & Joint Centers

Practice address

4024 12TH St
Suite B
Riverside, CA 92501-3561

Phone

(951) 683-0300

Fax

(951) 683-0310

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Stuart Wilbur, M.D.

Title

Ceo/Physician

Phone

(951) 479-8546

Specialties & licenses 6

Addresses

Other names 1

• Pacific Pain & Joint Centers Doing business as

Locations

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1891033668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 LIMONITE AVE.",
            "address_2": "SUITE 3E-235",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804208",
            "telephone_number": "951-479-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 12TH ST",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013561",
            "telephone_number": "951-683-0300",
            "fax_number": "951-683-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA FAMILY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "951-479-8546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pain & Joint Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriela Sepulveda
• Jackie Aliah Sepulveda
• Linda Zora Sepulveda
• Maria Guadalupe Sepulveda, REGISTERED DENTAL A.
• Rogelio Sepulveda Jr.
• Patricia Sera
• Serafin Salazar, MD, Inc. (Inland Obstetrics and Gynecology)
• Serene Health
• Serene Joy Home Care Inc
• Serenity Assisted Living

• Pain Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.