Brice Ponteri

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

5615 Lake Shore Dr
Selma, OR 97538-9711

Phone

(650) 440-0856

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1346999729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 LAKE SHORE DR",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389711",
            "telephone_number": "650-440-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 LAKE SHORE DR",
            "city": "SELMA",
            "state": "OR",
            "postal_code": "975389711",
            "telephone_number": "650-440-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTERI",
        "first_name": "BRICE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mechling, M.D.
• Lacy M Miller, RN
• Kay Marie Nielson, PTA, LMT
• Ben Pfaff, CRM
• Kirstan Poissonnier

• In Home Supportive Care Agency in Selma, OR
• Providers in Selma, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.