Individual provider Active NPI

Joseph Martin Pyron, RN, FNP

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1205086717
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18562 Issued in CA
Practice address
38780 Trade Center Dr Ste 1C
Palmdale, CA 93551-3641
Phone
(661) 947-5600
Fax
(661) 947-5900
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 607725 CA
Family Nurse Practitioner 363LF0000X 18562 CA Primary

Addresses

Primary practice location

38780 Trade Center Dr Ste 1C
Palmdale, CA 93551-3641

Mailing address

19031 Mustang Dr
Tehachapi, CA 93561-5463
Phone (661) 609-7013

Other identifiers 1

IdentifierTypeStateIssuer
18562OtherCANP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PALMDALE Health Information Exchange (HIE)

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
607725CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1205086717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 MUSTANG DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935615463",
            "telephone_number": "661-609-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38780 TRADE CENTER DR STE 1C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513641",
            "telephone_number": "661-947-5600",
            "fax_number": "661-947-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYRON",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "607725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "18562",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PALMDALE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "38780 Trade Center Dr Ste 1C",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935513641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.