Glenn Joseph Payne, CRT

Primary specialty

Pulmonary Function Technologist Certified Respiratory TherapistTaxonomy code 2278P1006X

License

00018987 Issued in CA

Practice address

1110 E Philadelphia St
9207
Ontario, CA 91761-4810

Phone

(909) 781-5406

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1962735381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E PHILADELPHIA ST",
            "address_2": "9207",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614810",
            "telephone_number": "909-781-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E PHILADELPHIA ST",
            "address_2": "9207",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614810",
            "telephone_number": "909-781-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "CA",
            "license": "00018987",
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "CA",
            "license": "00018987",
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "CA",
            "license": "00018987",
            "primary": false
        },
        {
            "code": "2278P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
            "state": "CA",
            "license": "00018987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Jason Paul
• Kallie R Paulson, B.S., SLPA
• Kim Lashley Paylor, MS, LPC
• Daijon Payne
• Destyn Payne
• Natasha Payne
• Kerry Anne Paysen, LCSW
• Hector Paz Jr
• Sarah Pazmino
• Hayley R Peck, BCBA

• Certified Respiratory Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Certified Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.