Pital Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PITAL MEDICAL, INC.

Practice address

333 S Grand Ave Ste 3310
Los Angeles, CA 90071-1538

Phone

(866) 904-4171

Fax

(866) 724-3130

NPI assigned

Nov 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rolanda Terica Breaux, COP,CMF

Title

Ceo

Phone

(866) 904-4171

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1487725016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S GRAND AVE STE 3310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900711538",
            "telephone_number": "866-904-4171",
            "fax_number": "866-724-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S GRAND AVE STE 3310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900711538",
            "telephone_number": "866-904-4171",
            "fax_number": "866-724-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITAL MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "TERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-904-4171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COP,CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EIN",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ro@pitalstaffing.org",
            "affiliation": "N",
            "endpointDescription": "ro@pitalstaffing.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "599 S Barranca Ave Ste 222",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917232785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ro@pitalstaffing.org",
            "affiliation": "N",
            "endpointDescription": "ro@pitalstaffing.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "599 S Barranca Ave Ste 222",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917232785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margareta Pisarska, M.D.
• Nicholas Eldon Pisca, PH.D.
• Joseph Rocco Pisegna, MD
• Marc Pistorio
• Deepti Pisupati, M.D.
• Brenda Pitchford
• Erica Pitman, LCSW
• Ivan Pitones
• Ronnie Pitre
• Tanisha Pitre, PSYD

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.