Primo Medical Spa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

G62334 Issued in CA

Legal business name

PRIMO MEDICAL SPA

Practice address

230 N Maryland Ave Ste 206a
Glendale, CA 91206-4282

Phone

(310) 621-4951

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Joseph Donato, D.C

Title

Owner

Phone

(310) 621-4951

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1295138758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 206A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064282",
            "telephone_number": "310-621-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 206A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064282",
            "telephone_number": "310-621-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-621-4951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA19760",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "CA19760",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G62334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primemed, Inc.
• Primetime Home Health Services
• Primetox Laboratories, Inc.
• Primewell Home Health Inc
• Primex Services Inc.
• Principal Home Health Care Inc
• Priority Health Group, Inc.
• Priority Home Health Inc.
• Mary Privette
• Pro Care Medical Supplies, Inc.

• Health Maintenance Organization in Glendale, CA
• Providers in Glendale, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.