PACIFIC PAIN PHYSICIANS
NPI 1558858035
Pain Medicine - Interventional Pain Medicine in San Luis Obispo, CA
NPI Status: Active since April 19, 2018
Contact Information
1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 563-0363
Fax: (805) 563-0364
- Organization
- Pain Medicine
- Interventional Pain Medicine
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 05D1094915
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-28-2027
About PACIFIC PAIN PHYSICIANS
This page provides the complete NPI Profile along with additional information for Pacific Pain Physicians, a provider established in San Luis Obispo, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1558858035 assigned on April 2018. The practitioner's primary taxonomy code is 208VP0014X with license number G68228 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pacific Pain Physicians. The authorized official of this NPI record is Justine Holmlund (Manager)
- NPI
- 1558858035
- Provider Legal Name
- HULLANDER AND MOZINGO LP
- Other Organization Name
- PACIFIC PAIN PHYSICIANS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1551 BISHOP ST STE 220 SAN LUIS OBISPO, CA 93401
- Location Phone
- (805) 563-0363
- Location Fax
- (805) 563-0364
- Mailing Address
- 222 W PUEBLO ST SANTA BARBARA, CA 93105
- Mailing Phone
- (805) 563-0363
- Mailing Fax
- (805) 563-0364
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-19-2018
- Last Update Date
- 04-19-2018
- Code Navigator
Pacific Pain Physicians is a medicare supplier with PTAN 20599565 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G68228
- License State
- CA
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | (CA) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20599565
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel.
- Provider Type List
- PHYSICIAN – OSTEOPATHIC MANIPULATIVE THERAPY.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1094915
- Facility Type
- Physician Office
- Certificate Effective Date
- January 29, 2025
- Certificate Expiration Date
- January 28, 2027
- Laboratory Director
- RALPH D. MOZINGO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Pain Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558858035, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558858035, enumerated as an "organization" on April 19, 2018.
The provider is located at 1551 BISHOP ST STE 220 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 563-0363.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
