Organization
SOFT TISSUE MEDICAL CENTER INC
Active
Organization
SOFT TISSUE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MICHAEL PAYAN DC (OWNER/OFFICER)
(831) 373-0188
Entity
Organization
Contact information
Practice address
648 PINE AVE, PACIFIC GROVE, CA 93950-3347
(831) 373-0188
(831) 373-6979
Mailing address
648 PINE AVE, PACIFIC GROVE, CA 93950-3347
(831) 373-0188
(831) 373-6979
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC19245
CA
208100000X
Physical Medicine & Rehabilitation Physician
G42005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G420050
RWT - BS
CA
01
—
1134258825
DAP - NPI
CA
01
—
1619998960
RWT NPI
CA
01
—
DC0192450
DAP - BS
CA
01
—
DC19245
DAP - BC
CA
01
—
G42005
RWT - BC
CA
01
—
ZZZ66746Z
BLUE SHIELD
CA
Enumeration date
03/05/2007
Last updated
02/28/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up