NPIMap

Organization Active NPI

Spectrumcare Rehabilitation Medical

  • Pain Medicine (Anesthesiology) Physician
  • Napa, CA
National Provider Identifier
1962890103
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G64848 Issued in CA
Legal business name
SPECTRUMCARE REHABILITATION MEDICAL
Practice address
3434 Villa LN Ste 150
Napa, CA 94558-6449
Phone
(707) 252-4507
Fax
(707) 258-2780
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Mrs. Darla Harrison, CMM
Title
Director of Clinical Services
Phone
(707) 252-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X G64848 CA Primary

Addresses

Primary practice location

3434 Villa LN Ste 150
Napa, CA 94558-6449

Mailing address

3434 Villa LN Ste 150
Napa, CA 94558-6449
Phone (707) 252-4507

Other names 1

  • Napa Pain Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1221 Farmers Ln
Ste 500
Santa Rosa, CA 95405
Phone (707) 308-3101

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1962890103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 VILLA LN STE 150",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586449",
            "telephone_number": "707-252-4507",
            "fax_number": "707-258-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VILLA LN STE 150",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586449",
            "telephone_number": "707-252-4507",
            "fax_number": "707-258-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUMCARE REHABILITATION MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "707-252-4507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G64848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napa Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.