Patriot DME Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATRIOT DME INC.

Practice address

510 S Grand Ave Ste 310
Glendora, CA 91741-4207

Phone

(626) 594-0192

NPI assigned

Jul 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Joseph Impastato

Title

Ceo

Phone

(626) 506-0808

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1003478736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S GRAND AVE STE 310",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414207",
            "telephone_number": "626-594-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S GRAND AVE STE 310",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414207",
            "telephone_number": "626-594-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT DME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "IMPASTATO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-506-0808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minal D Patel, DDS
• Nilesh Navin Patel, MD
• Rajan Sunny Patel, PHARMD
• Samir A Patel, D.O.
• Pathways 1 Sober Living
• Jamison Jon Pawley, DMD MS
• Jamie Danielle Payne, CATC-I
• PCC Health Services, Inc.
• Diane Helen Peacock, RN
• Virginia Pena, M.S.-IP, B.A.

• Durable Medical Equipment & Medical Supplies in Glendora, CA
• Providers in Glendora, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.