Active NPI
Prema Helen Dimauro, PTA
- Skilled Nursing Facility
- Phoenix, AZ
National Provider Identifier
1497900260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- AT3119
- Practice address
- 7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967 - Phone
- (888) 873-4221
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | AT3119 | CA | Primary |
| Skilled Nursing Facility | 314000000X | AT 3119 | CA |
Addresses
Primary practice location
7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967
Mailing address
3051 Sunflower Cir W
Palm Springs, CA 92262-1773
Phone (760) 416-9838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 3119 | CA | MD | Skilled Nursing Facility |
| AT3119 | CA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1497900260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 SUNFLOWER CIR W",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621773",
"telephone_number": "760-416-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 N 19TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217967",
"telephone_number": "888-873-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMAURO",
"first_name": "PREMA",
"middle_name": "HELEN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "AT3119",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "AT 3119",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.