Active NPI
Gregorio Semilla Palomares Jr.
- Durable Medical Equipment & Medical Supplies
- San Mateo, CA
National Provider Identifier
1124379029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 2901 S. El Camino Real
Unit 313
San Mateo, CA 94403 - Phone
- (650) 286-9310
- Fax
- (650) 286-9310
- NPI assigned
- Oct 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Nursing Facility Supplies (DME) | 332BN1400X |
Addresses
Primary practice location
2901 S. El Camino Real
Unit 313
San Mateo, CA 94403
Mailing address
2901 S. El Camino Real
Unit 313
San Mateo, CA 94403
Phone (650) 286-9310
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1124379029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 S. EL CAMINO REAL",
"address_2": "UNIT 313",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-286-9310",
"fax_number": "650-286-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 S. EL CAMINO REAL",
"address_2": "UNIT 313",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-286-9310",
"fax_number": "650-286-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMARES",
"first_name": "GREGORIO",
"middle_name": "SEMILLA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.