OrganizationActive
Central Coast Functional Restoration Program Inc
NPI 1144781519 · Interventional Pain Medicine Physician · Capitola, CA
Provider details
- NPI number
- 1144781519
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Montes, Office Manager(831) 464-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1260 41st Ave Ste D
Capitola, CA 95010-3929
Phone: (831) 464-7246
Fax: (831) 464-7744
Street-level locationGet directions
Mailing address
1260 41st Ave Ste D
Capitola, CA 95010-3929
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.