Active NPI
Santo Salvatore Polito, M.D.
- Cardiovascular Disease Physician
- Glendale, CA
National Provider Identifier
1336411503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- GFE9918
- Practice address
- 3255 Beaudry Ter
Glendale, CA 91208-1700 - Phone
- (818) 248-0588
- NPI assigned
- Feb 3, 2012
- Last updated
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | GFE9918 | CA | Primary |
Addresses
Primary practice location
3255 Beaudry Ter
Glendale, CA 91208-1700
Mailing address
3255 Beaudry Ter
Glendale, CA 91208-1700
Phone (818) 248-0588
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE9918 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1336411503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 BEAUDRY TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081700",
"telephone_number": "818-248-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 BEAUDRY TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081700",
"telephone_number": "818-248-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITO",
"first_name": "SANTO",
"middle_name": "SALVATORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "GFE9918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.