Provider Demographics
NPI:1568989861
Name:SILICON VALLEY PAIN CENTER INC
Entity Type:Organization
Organization Name:SILICON VALLEY PAIN CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAIA
Authorized Official - Middle Name:URSULA
Authorized Official - Last Name:CHAKERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-356-0503
Mailing Address - Street 1:360 DARDANELLI LN
Mailing Address - Street 2:2G
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1421
Mailing Address - Country:US
Mailing Address - Phone:408-356-0503
Mailing Address - Fax:408-356-4704
Practice Address - Street 1:360 DARDANELLI LN
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1421
Practice Address - Country:US
Practice Address - Phone:408-356-0503
Practice Address - Fax:408-356-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60149207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty