GLENN D LITTENBERG MD INC (NPI# 1336337542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336337542 |
| Entity Type | Organization |
| Organization Name | GLENN D LITTENBERG MD INC |
| Practice Address |
630 S Raymond Ave Suite 240 Pasadena CA 91105-3278 |
| Practice Telephone | 6264499920 |
| Practice Fax Number | 6265787366 |
| Mailing Telephone | 6264499920 |
| Mailing Fax Number | 6265787366 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | DR. GLENN D LITTENBERG (PRESIDENT) |
| Authorized Official Telephone | 6264499920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G27849 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G278490 | 05 | |
| CA | RAILROAD MEDICARE PTAN | DG8342 | 01 |
| Street Address |
630 S RAYMOND AVE SUITE 240 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014750 | Mary A Mioux Berry | Physical Medicine & Rehabilitation | 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | 2005-06-27 |
| 1295249225 | Tracy Le Henry | Nurse Practitioner | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2017-11-29 |
| 1316493737 | Asa Maria Albecz | Technician, Other | 630 S Raymond Ave, #310, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1023564481 | Neurologicinc | Specialist/Technologist, Other | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1720475825 | Neuro-rehab Consultation & Treatment Services | Psychologist | 630 S Raymond Ave, #340, Pasadena, CA 91105-3278 | 2015-04-16 |
| 1215365747 | Roxanne Prilutsky, Ph.d., A Psychology Corporation | Psychologist | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-10-18 |
| 1467897322 | West Coast Neurology | Psychiatry & Neurology | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-05-06 |
| 1588943682 | Southern California Glaucoma Consultants Medical Group | Ophthalmology | 630 S Raymond Ave, 230, Pasadena, CA 91105-3278 | 2011-08-08 |
| 1376867309 | Valley Diagnostic Imaging Medical Group Inc | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-03-19 |
| 1033431127 | Imaging Specialist of Pasadena LLC | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-02-17 |
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| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538453170 | Arlan Avrom Cohen | Internal Medicine | 1008 S Oakland Ave, Pasadena, CA 91106-4337 | 2011-05-31 |
| 1699965087 | Alliance Digestive Disease Consultants Medical Group | Internal Medicine | 50 Alessandro Pl Ste 410, Pasadena, CA 91105-3175 | 2007-07-31 |
| 1649244104 | Sassan Soltani | Internal Medicine | 50 Alessandro Place, Suite 410, Pasadena, CA 91105-3954 | 2006-02-13 |
| 1437149226 | John M. Zeroogian | Internal Medicine | 630 S Raymond Ave Unit 240, Pasadena, CA 91105-3283 | 2005-10-24 |
| 1871595942 | Mukul Khandelwal | Internal Medicine | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2005-08-10 |
| 1003819582 | Steven Alan Fein | Internal Medicine | 6243 Fairmont Pkwy Ste 203b, Pasadena, TX 77505-4047 | 2005-05-27 |
| 1902085277 | Steven J Petit Md A M C | Internal Medicine | 630 S Raymond Ave, Suite 240, Pasadena, CA 91105-3278 | 2007-11-02 |
| 1376732057 | Julie Ting-yu Yang | Internal Medicine | 50 Alessandro Pl, Suite 410, Pasadena, CA 91105-3149 | 2007-10-18 |
| 1487855086 | Pasadena Gastroenterology Medical Group Inc | Internal Medicine | 2750 E Washington Blvd, Ste 330, Pasadena, CA 91107-1448 | 2007-05-30 |
| 1952423485 | Waleed W Shindy, Md Inc | Internal Medicine | 630 S Raymond Ave, Suite 240, Pasadena, CA 91105-3278 | 2007-04-04 |
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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.