DR. GLENN MARK GROSSMAN (NPI# 1063693000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063693000 |
| Entity Type | Individual |
| Full Name | DR. GLENN MARK GROSSMAN |
| Credential | M.D. |
| Practice Address |
11600 Indian Hills Rd Suite 200 Mission Hills CA 91345-1225 |
| Practice Telephone | 8188384500 |
| Mailing Telephone | 8188384500 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G74125 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659408169 | Glenn Richard Grossman | Acupuncturist | 6639 Centurion Dr, Suite 200, Lansing, MI 48917-8276 | 2007-02-28 |
| Street Address |
11600 INDIAN HILLS RD SUITE 200 |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082654 | Carol Susannah Ashe | Nurse Practitioner | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2005-06-09 |
| 1144671140 | Joyce Ellis | Registered Nurse | 11600 Indian Hills Rd, Suite 200b, Mission Hills, CA 91345-1225 | 2016-06-30 |
| 1770934341 | Silvina Kroetz | Dietitian, Registered | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2016-06-24 |
| 1093101065 | Archana Kulai | Family Medicine | 11600 Indian Hills Rd, Mission Hills, CA 91345 | 2015-04-07 |
| 1104229178 | Dyane Gatmaitan | Nurse Practitioner | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2014-10-03 |
| 1053733584 | Sara Wong | Internal Medicine | 11600 Indian Hills Rd, Suite 200, Mission Hills, CA 91345-1225 | 2014-01-17 |
| 1144594045 | Claudio Alberto Rivera | Internal Medicine | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2012-02-24 |
| 1972870301 | Lindsay Navarrete | Clinic/Center | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2011-11-30 |
| 1831489350 | Joanne M Fierro | Nurse Practitioner | 11600 Indian Hills Rd, Mission Hills, CA 91345-1225 | 2011-04-18 |
| 1801109038 | Hooman Dehghan | Internal Medicine | 11600 Indian Hills Rd, Mission Hills, CA 91345 | 2010-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964965 | Sean Kossari, M.d. A. Prof . Corp | Obstetrics & Gynecology | 14901 Rinaldi St Ste 320, Mission Hills, CA 91345-1255 | 2011-08-19 |
| 1770598534 | Bahareh Fazilat | Obstetrics & Gynecology | 14901 Rinaldi St Ste 202, Mission Hills, CA 91345-1254 | 2006-07-30 |
| 1518439785 | Valley Community Wellness Centers, Inc | Obstetrics & Gynecology | 14901 Rinaldi St Ste 320, Mission Hills, CA 91345-1255 | 2018-12-27 |
| 1245655315 | Sean Kossari, M.d. A. Prof . Corp | Obstetrics & Gynecology | 14901 Rinaldi St Ste 320, Mission Hills, CA 91345-1255 | 2014-02-26 |
| 1417211707 | Nicole C Waschak | Obstetrics & Gynecology | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2012-07-01 |
| 1255572590 | Sean Kossari, M.d. A. Prof . Corp | Obstetrics & Gynecology | 14901 Rinaldi Street, Suite 320, Mission Hills, CA 91345-1204 | 2009-03-17 |
| 1922203546 | Kathryn Joann Wright | Obstetrics & Gynecology | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2007-06-15 |
| 1932280591 | Leo Y Peress | Obstetrics & Gynecology | 11600 Indian Hills Rd, Suite 201, Mission Hills, CA 91345-1225 | 2006-10-18 |
| 1215029483 | Jack H. Dym | Obstetrics & Gynecology | 10200 Sepulveda Blvd, Suite 200, Mission Hills, CA 91345-2649 | 2006-09-28 |
| 1316039597 | Morton W. Barke | Obstetrics & Gynecology | 10200 Sepulveda Blvd, Suite 200, Mission Hills, CA 91345-2649 | 2006-09-28 |
| Find all providers in MISSION HILLS | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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| 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.