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SUMMIT PAIN ALLIANCE INC
NPI 1558630020
Specialist in Santa Rosa, CA

Active since December 29, 2011
392 TESCONI CT, SANTA ROSA, CA 95401(707) 623-9803 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Summit Pain Alliance Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT PAIN ALLIANCE INC (NPI 1558630020) is a healthcare organization registered as a specialist in Santa Rosa, California and active in the NPI registry since December 2011. The organization lists Michael I Yang, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1558630020
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMIT PAIN ALLIANCE INC
Location Address392 TESCONI CTSanta Rosa, CA 95401-4653
Mailing Address392 Tesconi CtSanta Rosa, CA 95401-4653 · (707) 623-9803
Phone(707) 623-9803
Organization SubpartNo
Authorized OfficialMichael I YangMedical Doctor · (707) 623-9803
Enumeration DateDecember 29, 2011
Last NPPES UpdateApril 18, 2018
✔ NPI 1558630020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A112702
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
392 TESCONI CT, Santa Rosa, CA 95401
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Other Identifiers 1

OtherFS634ACA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Pain Alliance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Summit Pain Alliance Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Morgan Welch, D.O.
Anesthesiology
NPI 1851827315
392 TESCONI CT
Santa Rosa, CA 95401
(707) 623-9803
✔ PECOS✔ Accepts MedicareSame address
Michael Yang, M.D.
Anesthesiology
NPI 1063665438
392 TESCONI CT
Santa Rosa, CA 95401
(707) 623-9803
✔ PECOS✔ Accepts MedicareSame address
Krupali Patel
Nurse Practitioner
NPI 1801597356
392 TESCONI CT
Santa Rosa, CA 95401
(229) 740-5163
✔ PECOS✔ Accepts MedicareSame address
John Hau, M.D.
Pain Management
NPI 1922231042
392 TESCONI CT
Santa Rosa, CA 95401
(707) 623-9803
✔ PECOS✔ Accepts MedicareSame address
Lucas Konovalenko, MD
Pain Management
NPI 1699972679
935 TRANCAS ST STE 4B
Napa, CA 94558
(707) 346-4444
✔ PECOS25 mi
Pamela Coyne, FNP
Nurse Practitioner
NPI 1093902058
3470 BUSKIRK AVE
Pleasant Hill, CA 94523
(925) 887-5678
✔ PECOS✔ Accepts Medicare51 mi
David Ha
Pain Management
NPI 1629452099
2175 N CALIFORNIA BLVD STE 425
Walnut Creek, CA 94596
(925) 543-0140
✔ PECOS✔ Accepts Medicare52 mi
Barbara Kangas, NP
Nurse Practitioner
NPI 1649579343
22 ODYSSEY STE 155
Irvine, CA 92618
(949) 207-7650
✔ PECOS✔ Accepts Medicare431 mi
Eric Lee
Pain Management
NPI 1629225032
139 E 57TH ST FL 2
New York, NY 10022
(212) 203-2813
✔ PECOS✔ Accepts Medicare2,574 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Pain Alliance Inc's NPI number?

The NPI number for Summit Pain Alliance Inc is 1558630020. It was assigned to this organization in the NPPES registry on December 29, 2011.

Where is Summit Pain Alliance Inc located?

Summit Pain Alliance Inc is located at 392 Tesconi Ct, Santa Rosa, CA 95401. The listed phone number is (707) 623-9803.

What is Summit Pain Alliance Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Summit Pain Alliance Inc enrolled in Medicare?

Yes. Summit Pain Alliance Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Pain Alliance Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Summit Pain Alliance Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pain Management (4), Nurse Practitioner (3) and Anesthesiology (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Summit Pain Alliance Inc was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.