Mario Pallante, FNP

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19050 Issued in CA

Practice address

50100 Golsh Rd
Valley Center, CA 92082-5338

Phone

(760) 749-1410

Fax

(760) 749-5528

NPI assigned

Dec 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1881830644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920610406",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLANTE",
        "first_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP17079",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nite Owl Doula, LLC
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• Natalia Orosco Beresford, RDH
• Penny Blazej Licensed Clinical Social Worker Prof Corp
• Patrick Kasey Pierce, DC
• Jessica R Plumlee, LVN
• Martina Jenkins Portillo, R.N, MPH
• Kristie Preston, LMFT

• Physician Assistant in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.