Clifton Jamar Premo, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

010733 Issued in AZ

Practice address

13517 W Glendale Ave
Apt 1135
Glendale, AZ 85307-2010

Phone

(602) 832-2614

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1386088128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13517 W GLENDALE AVE",
            "address_2": "APT 1135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072010",
            "telephone_number": "602-832-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13517 W GLENDALE AVE",
            "address_2": "APT 1135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072010",
            "telephone_number": "602-832-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMO",
        "first_name": "CLIFTON",
        "middle_name": "JAMAR",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "010733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Care LLC
• Premier Home Dialysis Services
• Premier Neurology Institute
• Premier Sports Imaging Inc
• Premier Sports Imaging of Glendale
• Pressure Medical Technology LLC (HBOT Experts)
• Margaret Maxine Preston
• Pretty Malokera LLC (Beyond Inclusion Therapy and Consulting services)
• Shontionn Pridgon
• Roseanne Prieto, FNP-BC

• Registered Respiratory Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.