PATRIOT DISTRIBUTION LLC (NPI# 1548645617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548645617 |
| Entity Type | Organization |
| Organization Name | PATRIOT DISTRIBUTION LLC |
| Practice Address |
800 S Raymond Ave Pasadena CA 91105-3229 |
| Mailing Address |
Po Box 90730 Pasadena CA 91109-0730 |
| Practice Telephone | 6267958051 |
| Mailing Telephone | 6267958051 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | MICHAEL J FRAIPONT (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 6267958051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
800 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418893 | Michael J Fraipont | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| 1629676184 | Allyson M Andreini | Physical Medicine & Rehabilitation | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2020-10-15 |
| 1255826244 | Adameros Camesa | Physician Assistant | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-06-22 |
| 1336637032 | Priscilla Thai | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-04-27 |
| 1619415858 | Hsueh-fang Ting | Occupational Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2017-02-08 |
| 1750830204 | Kyle Luong | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2016-09-26 |
| 1619343423 | Democratic Anesthesiologists Inc | Anesthesiology | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-08-16 |
| 1609255405 | C7 Surgical Solutions Inc | Orthopaedic Surgery | 800 S Raymond Ave, Third Floor, Pasadena, CA 91105-3229 | 2015-05-26 |
| 1558754903 | Liberty Billing Inc | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-03-10 |
| 1952790248 | Amy L Kim A California Medical Corporation | Anesthesiology | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877392 | Americans First Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 259 Sierra Madre Villa Ave Ste 108, Pasadena, CA 91107-3150 | 2020-09-25 |
| 1831711498 | Evette Renee Ingram | Durable Medical Equipment & Medical Supplies | 1581 E Colorado Blvd, Pasadena, CA 91106-2132 | 2020-05-17 |
| 1194387548 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 959 E Walnut St Ste 125, Pasadena, CA 91106-1451 | 2019-07-06 |
| 1104485473 | Medplus Pharmacy 3 | Durable Medical Equipment & Medical Supplies | 5150 Crenshaw Rd Ste 9, Pasadena, TX 77505-3094 | 2019-06-11 |
| 1518328038 | Lake Shore Drugs LLC | Durable Medical Equipment & Medical Supplies | 3820 Mountain Rd Unit G, Pasadena, MD 21122-2027 | 2016-03-10 |
| 1801279062 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8107 Gov Ritchie Hwy, Pasadena, MD 21122-6917 | 2015-07-07 |
| 1043639420 | Optimal Sleep, LLC | Durable Medical Equipment & Medical Supplies | 215 N Marengo Ave Ste 110, Pasadena, CA 91101-1563 | 2014-04-14 |
| 1487923090 | General Medical Company | Durable Medical Equipment & Medical Supplies | 123 W Bellevue Dr, Suite 2, Pasadena, CA 91105-2549 | 2011-12-28 |
| 1457654253 | Forever Active Inc | Durable Medical Equipment & Medical Supplies | 1 W Mountain St Unit 9, Pasadena, CA 91103-3010 | 2010-12-16 |
| 1962703454 | Lake Avenue Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 467 N Lake Ave, Pasadena, CA 91101-1215 | 2010-11-15 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on PATRIOT DISTRIBUTION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.