Central Valley Pain Management
LBN: Central Valley Pain Management And Wellness Clinic
Central Valley Pain Management is an health care organization with primary practice located at 1300 Mable Avenue Suite 2, Modesto CA 95355-1120. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is the primary health care specialty.
Central Valley Pain Management And Wellness Clinic can be contacted via phone (209) 571-1992, or through Rhoades, Patrick Neal via phone (209) 571-1992.
Contact Information
Primary practice address
1300 Mable Avenue Suite 2
Modesto CA 95355-1120
Phone: (209) 571-1992
Fax: (209) 571-1994
Website:
Authorized official contact:
Name: Rhoades, Patrick Neal Doctor of Medicine (MD)
Phone: (209) 571-1992
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 00A519490 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 00A519490 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 00A519490 | California |
Profile Details
| NPI number | 1871657403 |
|---|---|
| LBN Legal business name | Central Valley Pain Management And Wellness Clinic |
| DBA Doing business as | Central Valley Pain Management |
| Authorized official | Rhoades, Patrick Neal Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Nov 26th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871657403 | NPPES |
| California | MEDICAID | 00A519490 |
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