Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Pain Alliance Inc

Organization Specialist · NPI 1558630020

Summit Pain Alliance Inc is a Specialist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

392 Tesconi Ct
Santa Rosa, CA 95401-4653
Phone: (707) 623-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A112702 (CA)

Record details

NPI number1558630020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Yang — Medical Doctor · (707) 623-9803
NPI enumeratedDecember 29, 2011
Last updated in NPPESApril 18, 2018
Mailing address392 Tesconi Ct, Santa Rosa, CA 95401-4653

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