OrganizationActive
San Joaquin Valley Interventional Pain Medical Group
NPI 1710085014 · Pain Medicine (Anesthesiology) Physician · Fresno, CA
Provider details
- NPI number
- 1710085014
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Petraglia, President(562) 407-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6210 N 1st St
Fresno, CA 93710-5447
Phone: (562) 407-2080
Fax: (562) 407-2082
Street-level locationGet directions
Mailing address
Po Box 3969
Cerritos, CA 90703-3969
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2008-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.