PACIFIC PAIN INSTITUTE (NPI# 1003295668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003295668 |
| Entity Type | Organization |
| Organization Name | PACIFIC PAIN INSTITUTE |
| Practice Address |
2410 Merced St San Leandro CA 94577-4211 |
| Mailing Address |
311 Park Place Blvd Suite 500 Clearwater FL 33759-4904 |
| Practice Telephone | 5102782700 |
| Mailing Telephone | 8138677201 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | TOUFAN RAZI (DISPENSING PRACTITONER) |
| Authorized Official Telephone | 5102782700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A82682 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988178 | Pacific Pain Institute | Clinic/Center | 2410 Merced St, San Leandro, CA 94577-4211 | 2015-07-29 |
| Street Address |
2410 MERCED ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215952726 | Toufan Razi | Anesthesiology | 2410 Merced St, San Leandro, CA 94577-4211 | 2006-07-13 |
| 1679034565 | Sarah Lannon | Dance Therapist | 2410 Merced St, San Leandro, CA 94577-4211 | 2019-03-25 |
| 1407214323 | Rosemary Atchity | Nurse Practitioner | 2410 Merced St, San Leandro, CA 94577-4211 | 2016-02-05 |
| 1215393749 | Benjamin Isaac Sandler | Psychologist | 2410 Merced St, San Leandro, CA 94577-4211 | 2016-01-13 |
| 1972988178 | Pacific Pain Institute | Clinic/Center | 2410 Merced St, San Leandro, CA 94577-4211 | 2015-07-29 |
| 1003239997 | Lisa Cung | Nurse Practitioner | 2410 Merced St, San Leandro, CA 94577-4211 | 2014-01-28 |
| 1316373913 | Sean Robert Carson | Acupuncturist | 2410 Merced St, San Leandro, CA 94577-4211 | 2013-09-16 |
| 1396083804 | Grace Jebara | Marriage & Family Therapist | 2410 Merced St, San Leandro, CA 94577-4211 | 2013-01-18 |
| 1164775839 | Craig A Humes | Physician Assistant | 2410 Merced St, San Leandro, CA 94577-4211 | 2012-10-18 |
| 1003058777 | Toufan Razi, Medical Incorporation | Anesthesiology | 2410 Merced St, San Leandro, CA 94577-4211 | 2009-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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| City | SAN LEANDRO |
| Zip Code | 94577 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.