NORTH BAY PAIN CARE (NPI# 1679744429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679744429 |
| Entity Type | Organization |
| Organization Name | NORTH BAY PAIN CARE |
| Practice Address |
2135 Armory Dr Suite 100 Santa Rosa CA 95401-3610 |
| Mailing Address |
2135 Armory Drive Suite 100 Santa Rosa CA 95401 |
| Practice Telephone | 7075751700 |
| Practice Fax Number | 7075751755 |
| Mailing Telephone | 7075751700 |
| Mailing Fax Number | 7075751755 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. BRIAN SCOTT MOORE (CLINIC DIRECTOR) |
| Authorized Official Telephone | 7075751700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
00G55246 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2135 ARMORY DR SUITE 100 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790805596 | Arthur Louis Tomaszewski | Dentist | 2135 Armory Dr, Suite 200, Santa Rosa, CA 95401-3610 | 2007-03-29 |
| 1003084799 | Brian S Moore | Chiropractor | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2008-02-14 |
| 1326236449 | New Directions Medical Center Inc | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912935966 | Norman Pang Md | Anesthesiology | 3325 Chanate Road, Santa Rosa, CA 95404 | 2006-06-29 |
| 1821026873 | Norman Pang Md | Anesthesiology | 2465 Summerfield Rd, Santa Rosa, CA 95405 | 2006-06-29 |
| 1538508841 | Chau My Vu | Anesthesiology | 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 | 2013-06-19 |
| 1154630044 | Acadia Pain Management Group, Inc. | Anesthesiology | 4704 Hoen Ave, Santa Rosa, CA 95405-7824 | 2010-09-27 |
| 1336471085 | Ronald J. Botelho, Md, Ltd | Anesthesiology | 1221 Farmers Ln, Suite 500, Santa Rosa, CA 95405-6712 | 2010-02-05 |
| 1063665438 | Michael Ishu Yang | Anesthesiology | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2008-10-29 |
| 1326236449 | New Directions Medical Center Inc | Anesthesiology | 2135 Armory Dr, Suite 100, Santa Rosa, CA 95401-3610 | 2007-10-15 |
| 1689747602 | Allen George Gruber | Anesthesiology | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-11-16 |
| 1407966369 | David Neil Calkins | Anesthesiology | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2006-08-30 |
| 1972539989 | Andrea Lynn Rubinstein | Anesthesiology | 3559 Round Barn Blvd, Santa Rosa, CA 95403-1763 | 2006-06-23 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on NORTH BAY PAIN CARE.
| 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.