THERAPEUTIC PAIN MANAGEMENT MEDICAL CLINIC (NPI# 1720295249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720295249 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC PAIN MANAGEMENT MEDICAL CLINIC |
| Practice Address |
1335 Buenaventura Blvd #100 Redding CA 96001-0160 |
| Mailing Address |
3116 W March Ln Ste 200 Stockton CA 95219-2369 |
| Practice Telephone | 5302410410 |
| Practice Fax Number | 5302410472 |
| Mailing Telephone | 2094736555 |
| Mailing Fax Number | 2094736543 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | ROBERT HANSEN (MANG PARTNR) |
| Authorized Official Telephone | 5302462410410 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DR IRANPUR MD LIC # | A070414 | 01 |
| CA | DR HANSEN MD LIC # | G047619 | 01 |
| CA | PENDING | 05 | |
| CA | DE. DHRUVA'S MD LIC # | A043275 | 01 |
| Street Address |
1335 BUENAVENTURA BLVD #100 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821317 | Robert M Hansen | Anesthesiology | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 | 2006-02-22 |
| 1700022647 | Robert John Ziola | Registered Nurse | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 | 2008-12-24 |
| 1841494366 | North Valley Breast Clinic | Clinic/Center | 1335 Buenaventura Blvd, Suite # 204, Redding, CA 96001-0160 | 2007-06-11 |
| 1235220815 | David E Mcgee-williams | Clinical Neuropsychologist | 1335 Buenaventura Blvd, Redding, CA 96001-0160 | 2006-09-27 |
| 1629045125 | Shishir A Dhruva | Anesthesiology | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679946 | James Gregory White | Pain Medicine | 473 South St, Redding, CA 96001-2105 | 2006-10-05 |
| 1609266071 | Paul John Scipione | Pain Medicine | 2111 Airpark Dr, Redding, CA 96001-2433 | 2015-01-23 |
| 1518203579 | James G White Md PC | Pain Medicine | 473 South St, Redding, CA 96001-2105 | 2012-12-19 |
| 1215201884 | North Valley Medical Corporation | Pain Medicine | 473 South St, Redding, CA 96001-2105 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
| 1376140152 | Tania Faruque M.d. P.C. | Pain Medicine | 255 N Elm St Ste 101, Escondido, CA 92025-3431 | 2020-10-05 |
| 1578199147 | Pinnacle Pain & Regenerative Medicine Inc | Pain Medicine | 24452 Health Center Dr, Laguna Hills, CA 92653-3604 | 2020-03-16 |
| 1396376745 | Michael Truong, Md | Pain Medicine | 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 | 2020-02-03 |
| 1013554930 | Algos Inc., A Medical Corporation | Pain Medicine | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-10 |
| 1649823964 | Bolt Surgery Center, LLC | Pain Medicine | 1124 S Main St Ste 102, Corona, CA 92882-4449 | 2019-07-17 |
| 1730649799 | Niamedic Bh PC | Pain Medicine | 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 | 2019-03-24 |
| 1174097612 | Southern California Regenerative Medical Inc | Pain Medicine | 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 | 2019-01-17 |
| 1215404132 | Haven Orthopedics & Spine Institute Inc | Pain Medicine | 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 | 2018-10-29 |
| 1700387347 | Paul Kim Md Inc. | Pain Medicine | 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 | 2018-02-27 |
| 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.