Gheorghe Patrutescu

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10530H Issued in AZ

Practice address

16134 N 72ND LN
Peoria, AZ 85382-4937

Phone

(623) 776-7460

Fax

(623) 776-7460

NPI assigned

Nov 3, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drobeta LLC

  • Assisted Living Facility
  • Peoria, AZ
  • NPI 1225628209
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1235730508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16134 N 72ND LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824937",
            "telephone_number": "602-370-6263",
            "fax_number": "623-776-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16134 N 72ND LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824937",
            "telephone_number": "623-776-7460",
            "fax_number": "623-776-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRUTESCU",
        "first_name": "GHEORGHE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10530H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817449",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vishal B Patel, MD
• Pathways to Connection, LLC
• Patrick L Dobash DDS PC
• Ashley L. Patrick, FNP-BC
• Gary W. Patrick, D.M.D.
• Maclay Patten
• Taylor Andrew Patterson, DO
• Zackcola Patton
• Paul Kevin Owens DDS (Copper Star Dentistry)
• Kulbhushan Paul, MD

• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.