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PACIFIC PAIN PHYSICIANS
NPI 1558858035
Pain Medicine - Interventional Pain Medicine in San Luis Obispo, CA

Active since April 19, 2018CLIA 05D1094915 · Waiver
1551 BISHOP ST STE 220, SAN LUIS OBISPO, CA 93401(805) 563-0363(805) 563-0364 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Pacific Pain Physicians NPPES

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

PACIFIC PAIN PHYSICIANS (NPI 1558858035) is a healthcare organization registered as an interventional pain medicine in San Luis Obispo, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Justine Holmlund, Manager, as its authorized official.

NPPES Registry Identity

NPI1558858035
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameHULLANDER AND MOZINGO LP
Location Address1551 BISHOP ST STE 220San Luis Obispo, CA 93401-4661
Mailing Address222 W Pueblo StSanta Barbara, CA 93105-3805 · (805) 563-0363 · Fax (805) 563-0364
Phone(805) 563-0363
Fax(805) 563-0364
Organization SubpartYes
Authorized OfficialJustine HolmlundManager · (805) 563-0363
Enumeration DateApril 19, 2018
✔ NPI 1558858035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · G68228
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1551 BISHOP ST STE 220, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Pain Physicians

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1094915

Pacific Pain Physicians · Atascadero, CA
Active · expires Jan 28, 2027
CLIA Number05D1094915
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorRalph D. Mozingo
Laboratory Phone(805) 563-0363
Laboratory LocationPacific Pain Physicians6717 Morro Rd, Atascadero, CA 93422
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Pacific Pain Physicians carries, from the Medicare DMEPOS supplier directory.

Pacific Pain Physicians

DMEPOS supplier · San Luis Obispo, CAOperated by Hullander And Mozingo LP
✔

Accepts Medicare assignment

Pacific Pain Physicians agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20599565
Medicare Participant SinceAugust 1, 2003
Supplier Location1551 Bishop St Ste 210San Luis Obispo, CA 93401
Phone(805) 563-0363
Provider TypePhysician – Osteopathic Manipulative Therapy
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY RINALDI PA-C
Physician Assistant
1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-2744
DANIEL ROBERT MORE M.D.
Allergy & Immunology
1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-2744
ALLERGY PARTNERS OF CALIFORNIA, INC.
Allergy & Immunology
1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-2744

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 Hullander And Mozingo LP's NPI number?

The NPI number for Hullander And Mozingo LP is 1558858035. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Pacific Pain Physicians.

Where is Hullander And Mozingo LP located?

Hullander And Mozingo LP is located at 1551 Bishop St Ste 220, San Luis Obispo, CA 93401. The listed phone number is (805) 563-0363.

What is Hullander And Mozingo LP's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Hullander And Mozingo LP accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pacific Pain Physicians accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Hullander And Mozingo LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1094915) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hullander And Mozingo LP was last updated on April 19, 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.