BAY AREA PAIN MEDICAL ASSOCIATES (NPI# 1326170374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326170374 |
| Entity Type | Organization |
| Organization Name | BAY AREA PAIN MEDICAL ASSOCIATES |
| Practice Address |
3 Harbor Dr Suite 115 Sausalito CA 94965-1454 |
| Practice Telephone | 4153800480 |
| Mailing Telephone | 4153800480 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | DIANE KEANEY (PRACTICE MANAGER) |
| Authorized Official Telephone | 4153800480 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
C39226 | CA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 370895 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
C38406 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3 HARBOR DR SUITE 115 |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1437774320 | Ulyses Radam Reamico | Nurse Practitioner | 3 Harbor Dr, Sausalito, CA 94965-1454 | 2020-06-16 |
| 1225424138 | Sierra Smith | Dietitian, Registered | 3 Harbor Dr, Unit 110, Sausalito, CA 94965-1454 | 2015-04-08 |
| 1225277791 | Diane Moskowitz Keaney | Registered Nurse | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2009-02-06 |
| 1558439653 | Robert H Hines Jr. | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1316015381 | Moira Opalka | Nurse Practitioner | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1558439653 | Robert H Hines Jr. | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144762 | Integrated Neurology & Pain Management, PC | Psychiatry & Neurology | 155 Glen Cove Marina Rd E Ste 100, Vallejo, CA 94591-7284 | 2020-01-31 |
| 1700423704 | Estera Luminita Heller | Psychiatry & Neurology | 1510 W Whittier Blvd # 54, La Habra, CA 90631-3617 | 2019-12-09 |
| 1669965885 | California Centers for Psychiatric Wellness and Health | Psychiatry & Neurology | 1307 W 6th St Ste 105, Corona, CA 92882-1644 | 2018-06-12 |
| 1396004594 | Hirsh Kaveeshvar | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste B18, Valencia, CA 91355 | 2012-05-08 |
| 1548450448 | Aimee C Chagnon | Psychiatry & Neurology | 357 Perkins St, Suite 206, Sonoma, CA 95476-6826 | 2007-07-26 |
| 1902005713 | James David Weiss | Psychiatry & Neurology | 624 Frederick Street, Santa Cruz, CA 95062 | 2007-07-12 |
| 1467672485 | Fadi Alhatem | Psychiatry & Neurology | 250 N Robertson Blvd Ste 505, Beverly Hills, CA 90211 | 2007-05-01 |
| 1497768170 | Thomas Benedict Bryan | Psychiatry & Neurology | 3351 M Street, Ste 120, Merced, CA 95348 | 2006-08-14 |
| 1235118068 | California Headache and Pain Specialist, Inc. | Psychiatry & Neurology | 420 W. Las Tunas Dr., San Gabriel, CA 91776 | 2006-01-11 |
| 1689666265 | Viliam Jesus Furdik | Psychiatry & Neurology | 255 E Santa Clara St, 230, Arcadia, CA 91006-7226 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
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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.