Organization Active NPI

Gregory E. Polito MD a Professional Corporation

  • Specialist
  • Whittier, CA
National Provider Identifier
1861681033
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G23699 Issued in CA
Legal business name
GREGORY E. POLITO MD A PROFESSIONAL CORPORATION
Practice address
8135 Painter Ave
Suite 304
Whittier, CA 90602-3102
Phone
(562) 907-7600
Fax
(562) 907-7602
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Dr. Gregory E Polito, M.D.
Title
Owner
Phone
(562) 907-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G23699 CA Primary

Addresses

Primary practice location

8135 Painter Ave
Suite 304
Whittier, CA 90602-3102

Mailing address

8135 Painter Ave
Suite 304
Whittier, CA 90602-3102
Phone (562) 907-7600

Other identifiers 2

IdentifierTypeStateIssuer
EA429AOtherCAMEDICARE PTAN
00G236991MedicaidCA

National Provider Directory

National Provider Directory

Locations

8135 Painter Ave
Ste 304
Whittier, CA 90602
Phone (562) 907-7600

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1861681033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE",
            "address_2": "SUITE 304",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023102",
            "telephone_number": "562-907-7600",
            "fax_number": "562-907-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 PAINTER AVE",
            "address_2": "SUITE 304",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023102",
            "telephone_number": "562-907-7600",
            "fax_number": "562-907-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. POLITO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-907-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G23699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EA429A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G236991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.