De Palma Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G9647 Issued in CA

Legal business name

DE PALMA MEDICAL GROUP, INC.

Practice address

710 W Wilson Ave
Glendale, CA 91203-2409

Phone

(818) 500-8736

Fax

(818) 500-7214

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John R De Palma, M.D.

Title

C.E.O.

Phone

(818) 500-8736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald J Williams, M.D.

  • Nephrology Physician
  • Glendale, CA
  • NPI 1619164720
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104980143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR STE 435",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064151",
            "telephone_number": "818-956-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032409",
            "telephone_number": "818-500-8736",
            "fax_number": "818-500-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE PALMA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE PALMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "818-500-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonny De Wayne De Hart, LVN
• Nersedalia De Jesus
• Mark Mendez De Leon, DDS
• Mary De Leon
• Randall Yparraguirre De Leon
• Nathan De Silva
• Crystal Deagueros
• Daisy Josselyn Deagueros
• Belamey Dean
• Deandrea a Medical Corporation

• Specialist in Glendale, CA
• Providers in Glendale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.