LARRY W. PAYNE HEALTH SERVICES TECH
NPI 1679732143
Military Health Care Provider - Independent Duty Medical Technicians in Petaluma, CA

Active since June 09, 2008
599 TOMALES RD, PETALUMA, CA 94952(707) 765-7275(707) 765-7495 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry W. Payne Health Services Tech NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY W. PAYNE HEALTH SERVICES TECH (NPI 1679732143) is an individual independent duty medical technicians provider in Petaluma, California and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1679732143
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameLARRY W. PAYNECredential: HEALTH SERVICES TECH
Location Address599 TOMALES RDPetaluma, CA 94952-5002
Mailing Address599 Tomales RdPetaluma, CA 94952-5002 · (707) 765-7275 · Fax (707) 765-7495
Fax(707) 765-7495
Sole ProprietorNo
Enumeration DateJune 9, 2008
NPI 1679732143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

599 TOMALES RD, Petaluma, CA 94952

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medical Technician, Basic
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, HS 'A' SCHOOL
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, US COAST GUARD TRACEN PETALUMA
PETALUMA, CA 94952
Radiologic Technologist (Radiography)
599 TOMALES RD, HEALTH SERVICES 'A' SCHOOL
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, MEDICAL CLINIC
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Dental Assistant
599 TOMALES RD
PETALUMA, CA 94952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Payne's NPI number?

The NPI number for Larry Payne is 1679732143. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Larry Payne located?

Larry Payne practices at 599 Tomales Rd, Petaluma, CA 94952. The listed phone number is (707) 765-7275.

What is Larry Payne's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Larry Payne was last updated on June 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.