Larry W. Payne, HEALTH SERVICES TECH

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

599 Tomales Rd
Petaluma, CA 94952-5002

Phone

(707) 765-7275

Fax

(707) 765-7495

NPI assigned

Jun 9, 2008

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

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1679732143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 TOMALES RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525002",
            "telephone_number": "707-765-7275",
            "fax_number": "707-765-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 TOMALES RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525002",
            "telephone_number": "707-765-7275",
            "fax_number": "707-765-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LARRY",
        "middle_name": "W.",
        "credential": "HEALTH SERVICES TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Paula Jr.
• Brian Paulick
• Amadeu J Pavini
• Jesse Davidson Koa Pawid
• Erma Abrazado Payne, HEALTH SERVICES TECH
• Sandra Linn Peace, PSYD
• Margaret Peacock, M.D.
• Alyssa D Peake, DDS
• Elizabeth Rose Pearson
• Lisa Feth Pearson, M.D.

• Independent Duty Medical Technicians in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Independent Duty Medical Technicians in California

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

Verify at the official NPI Registry.