CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC – NPI #1871657403
Neuromusculoskeletal Medicine, Sports Medicine
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC is a provider located in MODESTO, CA. NPPES has assigned the NPI number 1871657403 to CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC on December 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC is also known by the name CENTRAL VALLEY PAIN MANAGEMENT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.
The NPI profile was previously updated about 14 years ago on Nov 26, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC below.
NPI Profile for
CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC
(more than 19 years ago)
SUITE 2
MODESTO, CA 95355-1120 Phone: (209) 571-1992 Fax: (209) 571-1994
PRESIDENT
Phone: (209) 571-1992
Identifiers for CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | 00A519490 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 204C00000X - Neuromusculoskeletal Medicine, Sports Medicine (Primary) |
CA | 00A519490 |
| 208VP0000X - Pain Medicine / Pain Medicine |
CA | 00A519490 |
| 2081P2900X - Physical Medicine & Rehabilitation / Pain Medicine |
CA | 00A519490 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.