Healthcare Provider Details

I. General information

NPI: 1538487608
Provider Name (Legal Business Name): INTERVENTIONAL PAIN SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 W EAST AVE
CHICO CA
95926-7201
US

IV. Provider business mailing address

PO BOX 491509
REDDING CA
96049-1509
US

V. Phone/Fax

Practice location:
  • Phone: 530-343-4757
  • Fax: 530-343-3347
Mailing address:
  • Phone: 530-768-1064
  • Fax: 530-215-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY J. LIPMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 530-343-4757