SA PAIN CLINIC – NPI #1710253646
Anesthesiology

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.

SA PAIN CLINIC is an anesthesiologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1710253646 to SA PAIN CLINIC on March 26, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SA PAIN CLINIC” is a dba name, the actual legal business name for this organization is LARINA V GUTENBERG DO PLLC. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 2 years ago on Feb 23, 2024. 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 SA PAIN CLINIC below.

NPI Profile for
LARINA V GUTENBERG DO PLLC

NPI Number
1710253646
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LARINA V GUTENBERG DO PLLC
Doing Business As (dba): SA PAIN CLINIC
Primary location
5522 LONE STAR PKWY BLDG 2
STE 101
SAN ANTONIO, TX 78253-6720
Phone: (210) 298-4900 Fax: (210) 298-6631
1 Other location(s):
1510 S Main St
Boerne, TX 78006-3308
Phone: (210) 298-4900
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEKSEI GUTENBERG
ADMINISTRATOR
Phone: (210) 298-4900
Updated
Certification Date
Feb 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
TX

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.