Active NPI
William Dennis Pagliano, DPM Inc.
- Podiatrist
- Los Angeles, CA
National Provider Identifier
1336206986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1517
- Legal business name
- WILLIAM DENNIS PAGLIANO, DPM INC.
- Practice address
- 1245 Wilshire Blvd
810
Los Angeles, CA 90017-4810 - Phone
- (213) 481-1888
- Fax
- (213) 481-2025
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William D Pagliano, DPM
- Title
- President
- Phone
- (213) 481-1888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1517 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd
810
Los Angeles, CA 90017-4810
Mailing address
1245 Wilshire Blvd
810
Los Angeles, CA 90017-4810
Phone (213) 481-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E15170 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- William Dennis Pagliano DPM Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Valencia, CA
- NPI 1114135944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336206986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "810",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-1888",
"fax_number": "213-481-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "810",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-1888",
"fax_number": "213-481-2025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM DENNIS PAGLIANO, DPM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAGLIANO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-481-1888",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E1517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E15170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.