Organization Active NPI

Karen Pantazis MD

  • Pain Medicine Physician
  • Jackson, CA
National Provider Identifier
1992094874
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C42898 Issued in CA
Legal business name
KAREN PANTAZIS MD
Practice address
817 Court St
Suite 14
Jackson, CA 95642-2156
Phone
(916) 354-1343
Fax
(916) 354-1299
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Karen Louise Pantazis, MDNPI 1770661423
Title
Owner
Phone
(916) 354-1343

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
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X C42898 CA Primary

Addresses

Primary practice location

817 Court St
Suite 14
Jackson, CA 95642-2156

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

National Provider Directory

National Provider Directory

Locations

817 Court St
Ste 14
Jackson, CA 95642
Phone (209) 257-0503

Practitioners & affiliated clinicians

Practitioners 3

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": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1992094874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COURT ST",
            "address_2": "SUITE 14",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422156",
            "telephone_number": "916-354-1343",
            "fax_number": "916-354-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN PANTAZIS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PANTAZIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-354-1343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C42898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.