Individual provider Active NPI

William Dennis Pagliano

  • Podiatrist
  • Newhall, CA
National Provider Identifier
1265599815
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1517 Issued in CA
Practice address
24355 Lyons Ave
110
Newhall, CA 91321-2300
Phone
(661) 255-6258
Fax
(661) 255-5142
NPI assigned
Jan 2, 2007
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1517 CA Primary

Addresses

Primary practice location

24355 Lyons Ave
110
Newhall, CA 91321-2300

Mailing address

24355 Lyons Ave
110
Newhall, CA 91321-2300
Phone (661) 255-6258

Other identifiers 1

IdentifierTypeStateIssuer
000E15170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000736 CA Practitioner - Podiatry 3072705276 Practice locations: Newhall, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1517CAMDOccupational Therapy Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1265599815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24355 LYONS AVE",
            "address_2": "110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212300",
            "telephone_number": "661-255-6258",
            "fax_number": "661-255-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24355 LYONS AVE",
            "address_2": "110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212300",
            "telephone_number": "661-255-6258",
            "fax_number": "661-255-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIANO",
        "first_name": "WILLIAM",
        "middle_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E15170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.