Harold Glenn Patton, DIRECTOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

732 S Acacia Ave
Rialto, CA 92376-7106

Phone

(909) 258-2478

Fax

(760) 628-2098

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1063139558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15133 MATEO PRADO WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943723",
            "telephone_number": "909-963-9262",
            "fax_number": "760-628-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S ACACIA AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767106",
            "telephone_number": "909-258-2478",
            "fax_number": "760-628-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4436 Bronson St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924076809",
            "country_code": "US",
            "telephone_number": "909-258-2478",
            "fax_number": "760-628-2098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "HAROLD",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hgpGodsforlife@aol.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client Referrals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Domestic Violence Home",
            "address_1": "4436 Bronson St",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924076809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hgpGodsforlife@aol.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client referrals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Drug and Alcohol Rebabilitation",
            "address_1": "732 S Acacia Ave",
            "city": "Rialto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923767106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sameer Patel, D.M.D
• Talha Iqbal Patel, D.D.S
• Patelprofessional Dental Corp. (Rialto Dental Care)
• Patricia Ann Pompa, D.D.S., Inc.
• Linda C. Patterson
• Itzel Payan-Caro, MS, PPS
• Regina Joanna Peacock, LCSW
• Andrew Peckich
• Pedro M Sandoval DDS Corporation (Blue Crystal Dental)
• Gilbert N/a Pena, RDA

• Addiction (Substance Use Disorder) Counselor in Rialto, CA
• Providers in Rialto, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.