Active NPI
Larry Leforte II, PARAMEDIC
- Paramedic
- Phoenix, AZ
National Provider Identifier
1083138010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 50617
- Practice address
- 2018 W Blaylock Dr
Phoenix, AZ 85085 - Phone
- (928) 499-2984
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 50617 | AZ | Primary |
Addresses
Primary practice location
2018 W Blaylock Dr
Phoenix, AZ 85085
Mailing address
2018 W Blaylock Dr
Phoenix, AZ 85085-1718
Phone (928) 499-2984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50617 | Other | AZ | ARIZONA DEPT OF HEALTH SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50617 | AZ | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083138010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 W BLAYLOCK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850851718",
"telephone_number": "928-499-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 W BLAYLOCK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85085",
"telephone_number": "928-499-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFORTE",
"first_name": "LARRY",
"name_suffix": "II",
"credential": "PARAMEDIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "AZ",
"license": "50617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPT OF HEALTH SERVICES",
"identifier": "50617",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.