SUMMIT PAIN MANAGEMENT INSTITUTE (NPI# 1235426065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235426065 |
| Entity Type | Organization |
| Organization Name | SUMMIT PAIN MANAGEMENT INSTITUTE |
| Practice Address |
1121 Maidu Dr Auburn CA 95603-5808 |
| Practice Telephone | 5308881118 |
| Practice Fax Number | 5308888832 |
| Mailing Telephone | 5308881118 |
| Mailing Fax Number | 5308888832 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Authorized Official Name | KARANJIT BASRAI (OWNER) |
| Authorized Official Telephone | 5308881118 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1121 MAIDU DR |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779157 | Robert Gary Suggett | Physical Therapist | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2006-10-03 |
| 1184134348 | Marina Kaminetskaya | Clinical Neuropsychologist | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2017-10-02 |
| 1184984601 | Debra Miller | Psychologist | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2012-05-17 |
| 1477746006 | Roberta B Foster | Nurse Practitioner | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2007-08-27 |
| 1811031263 | Navnit Bhatia | Physical Medicine & Rehabilitation | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2007-02-19 |
| 1790853760 | Karanjit Singh Basrai | Physical Medicine & Rehabilitation | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2006-11-30 |
| 1134207848 | Edward A. Posuniak Jr. | Physical Medicine & Rehabilitation | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892110 | Cody Charles Smith | Physician Assistant | 11795 Education St Ste 220, Auburn, CA 95602-2469 | 2020-02-11 |
| 1497191993 | Jason Alan Berryhill | Physician Assistant | 13555 Bowman Rd, Suite 100, Auburn, CA 95603-3156 | 2013-05-12 |
| 1881889731 | Ryan P Dirks | Physician Assistant | 1314 8th St Ne Ste 101, Auburn, WA 98002-4587 | 2007-09-12 |
| 1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
| 1306986294 | Blythe E Fawcett | Physician Assistant | 37 W Garden St Ste 105, Auburn, NY 13021 | 2007-02-08 |
| 1144379884 | Gerald Ortego | Physician Assistant | 192 W Genesee St, Lake Region Urology, Auburn, NY 13021-3361 | 2007-01-10 |
| 1659478360 | Melanie M Lehman | Physician Assistant | 3254 Professional Dr, Auburn, CA 95602 | 2006-09-17 |
| 1073527354 | Cynthia L Rubbert | Physician Assistant | 1000 Auburn Way S, Auburn, WA 98002-6132 | 2006-07-29 |
| 1811980790 | E Darren Racht | Physician Assistant | 207 Southbridge St, Auburn, MA 01501-2548 | 2005-08-25 |
| 1548264476 | Meridith Christine Yochim | Physician Assistant | 901 Eckhart Ave, Auburn, IN 46706-1325 | 2005-06-09 |
| Find all providers in AUBURN | ||||
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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.