Healthcare Provider Details

I. General information

NPI: 1861060733
Provider Name (Legal Business Name): PAIN CLINICS OF CENTRAL CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 W WHITENDALE AVE
VISALIA CA
93277-6131
US

IV. Provider business mailing address

3550 Q ST STE 304C
BAKERSFIELD CA
93301-1662
US

V. Phone/Fax

Practice location:
  • Phone: 833-478-1818
  • Fax: 833-478-1817
Mailing address:
  • Phone: 833-478-1818
  • Fax: 833-478-1817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHOK M. PARMAR
Title or Position: OWNER
Credential:
Phone: 661-587-2468