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JEFFERSON PAIN CLINIC
NPI 1780053033
Pain Medicine - Interventional Pain Medicine in Crescent City, CA

Active since September 16, 2015
1225 MARSHALL ST, STE 18, CRESCENT CITY, CA 95531(707) 464-1989(707) 464-9593 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jefferson Pain Clinic NPPES

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

JEFFERSON PAIN CLINIC (NPI 1780053033) is a healthcare organization registered as an interventional pain medicine in Crescent City, California and active in the NPI registry since September 2015. The organization lists Martin Kernberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1780053033
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMARTIN KERNBERG MD INC
Location Address1225 MARSHALL ST, STE 18Crescent City, CA 95531-2281
Mailing Address1327 Waller StSan Francisco, CA 94117-2920 · (707) 464-1989 · Fax (707) 464-9593
Phone(707) 464-1989
Fax(707) 464-9593
Organization SubpartNo
Authorized OfficialMartin KernbergOwner · (707) 464-1989
Enumeration DateSeptember 16, 2015
✔ NPI 1780053033 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 · 62629
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 ListedInternal MedicineTaxonomy 207R00000X · License 62629 (CA)
1225 MARSHALL ST, Crescent City, CA 95531
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Other Names 1

Doing Business AsJefferson Pain Clinic

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

Other Providers at the Same Location NPPES

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

THOMAS MICHAEL POLIDORE MD
Surgery
1225 MARSHALL ST, #24
CRESCENT CITY, CA 95531
Del Norte County (707) 465-0884

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 Martin Kernberg MD Inc's NPI number?

The NPI number for Martin Kernberg MD Inc is 1780053033. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Jefferson Pain Clinic.

Where is Martin Kernberg MD Inc located?

Martin Kernberg MD Inc is located at 1225 Marshall St Ste 18, Crescent City, CA 95531. The listed phone number is (707) 464-1989.

What is Martin Kernberg MD Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Martin Kernberg MD Inc was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.