Riyadh L Bartolome

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

047247 Issued in AZ

Practice address

26817 N 176TH Dr
Surprise, AZ 85387-1065

Phone

(323) 443-4984

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1740058015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26817 N 176TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871065",
            "telephone_number": "323-443-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26817 N 176TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871065",
            "telephone_number": "323-443-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOME",
        "first_name": "RIYADH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "047247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Barringer, L.P.N.
• Kassandra Barron-Guzman, FNP-C
• Alexis Barron
• Nicole Barth, FNP-C
• Zachary Michael Bartlett, PA-C
• Heather Ranee' Bartram
• April S Bass, PA
• Julia Bates, OTR
• Vicki Lee Batten, RDH
• Battle Belles Community Behavioral Health Services

• Occupational Therapy Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.