Pain Management Specialists Medical Group
NPI 1265435416ActiveOrganization· Specialist· San Luis Obispo, CA
Specialist in San Luis Obispo, California, registered in NPPES in May 2005. The authorized official on file is Inna Gribanova, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265435416 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2005 |
| Last updated in NPPES | Dec 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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