Isis Dalia Palomino Rivera

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Practice address

3216 S Harvey Ave
Oklahoma City, OK 73109-6325

Phone

(405) 371-1636

NPI assigned

Jan 10, 2024

Sex

Female

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1417728304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 S HARVEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096325",
            "telephone_number": "405-371-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 S HARVEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731096325",
            "telephone_number": "405-371-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO RIVERA",
        "first_name": "ISIS",
        "middle_name": "DALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Palmer, MD
• Tiffany Palmer, D.O.
• Joseph M Palmeri, M.D.
• Brian T. Palmisano, MD
• Emily Palmore
• Crystal K Palone
• Rezelyn Pamaong, PT
• Pamela Pettigrew, LCSW, LLC
• Valimohammed Panara
• Cara Elizabeth Panas, APRN -CNP

• Multi-Specialty Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Multi-Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.