CHRONIC PAIN ASSOCIATES, P.C. (NPI# 1700108776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700108776 |
Entity Type | Organization |
Organization Name | CHRONIC PAIN ASSOCIATES, P.C. |
Practice Address |
7592 Metropolitan Dr Suite 401 San Diego CA 92108-4428 |
Practice Telephone | 8777275974 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2012-07-23 |
Authorized Official Name | MR. MIKEL PARKER (DIRECTOR OF OPERATIONS AND CFO) |
Authorized Official Telephone | 8583425441 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7592 METROPOLITAN DR SUITE 401 |
City | SAN DIEGO |
State | CA |
Zip Code | 92108-4428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184698391 | John Lee Grimwood | Pathology | 7592 Metropolitan Dr, Ste 405, San Diego, CA 92108-4428 | 2006-02-14 |
1174836894 | San Diego Pathologists Medical Group Inc | Pathology | 7592 Metropolitan Dr, Suite 405, San Diego, CA 92108-4428 | 2010-07-22 |
1598083909 | Autumn Rose Phillips | Psychologist | 7592 Metropolitan Dr, Ste 400, San Diego, CA 92108-4428 | 2010-05-10 |
1396958559 | William Joseph Watts | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2007-05-07 |
1588757215 | Tyler P Youngkin | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-10-02 |
1427066836 | Carla Stayboldt | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-03 |
1194732644 | Bruce Alan Robbins | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
1174530612 | David John Francis | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
1265449748 | Nancy Lee Harrison | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
1205841665 | Slawomir Tadeusz Niewiadomski | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
Find all providers in zip 92108 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831676667 | Edward Agunanne Alozie | Rehabilitation Practitioner | 966 Bollenbacher St, San Diego, CA 92114-1833 | 2018-07-24 |
1306185558 | Edward L Goldzimer | Rehabilitation Practitioner | 7985 Sentinel, San Diego, CA 92127-2569 | 2013-02-07 |
1992042576 | April Rose Largura | Rehabilitation Practitioner | 4967 Newport Ave, Suite 12, San Diego, CA 92107-3167 | 2013-01-15 |
1407477292 | Aslene Cabias Julian | Rehabilitation Practitioner | 8060 Frost St, San Diego, CA 92123-2703 | 2020-05-03 |
1700271533 | Thats Your Body | Rehabilitation Practitioner | 1804 Cable St, Suite A, San Diego, CA 92107-3141 | 2015-03-30 |
1326329277 | Darcy Leigh Richardson | Rehabilitation Practitioner | 734 10th Ave, San Diego, CA 92101-6502 | 2011-09-06 |
1679864474 | Kinshirley Lam | Rehabilitation Practitioner | 10174 Old Grove Rd Ste 100, San Diego, CA 92131-1652 | 2011-04-27 |
1205153319 | Holly B Arnold | Rehabilitation Practitioner | 5005 Texas St, Suite 203, San Diego, CA 92108-3721 | 2010-04-28 |
1457588733 | Laquetta Johnson | Rehabilitation Practitioner | 4283 El Cajon Blvd, San Diego, CA 92105-1289 | 2009-06-15 |
1700035771 | Karina Irene Buettgenbach | Rehabilitation Practitioner | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2008-09-15 |
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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.