Larry J Pristo, PH.D.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

641 Issued in AZ

Practice address

4650 W. Sweetwater
Glendale, AZ 85304-1505

Phone

(602) 347-2600

NPI assigned

May 3, 2007

Last updated

Jul 9, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386866929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28150 N ALMA SCHOOL PKWY",
            "address_2": "SUITE 103 - 500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852628048",
            "telephone_number": "480-443-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W. SWEETWATER",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041505",
            "telephone_number": "602-347-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISTO",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Medhealth LLC
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• Pristine Hospice LLC
• Lavaya Pristo
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• Kristi Proch, LAC
• Professional Air Ambulance
• Professional Health Consultants

• Local Education Agency (LEA) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.