DR. GABRIEL GLUCK (NPI# 1619975679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619975679 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL GLUCK |
| Credential | M.D. |
| Practice Address |
3525 Loma Vista Rd Ste A Ventura CA 93003-3165 |
| Mailing Address |
5720 Ralston St Ste 200 Ventura CA 93003-7844 |
| Practice Telephone | 8056416415 |
| Practice Fax Number | 8056416424 |
| Mailing Telephone | 8058044168 |
| Mailing Fax Number | 8058301177 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | C166320 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | C166320 | 01 |
| VA | STATE LICENSE | 0101-028855 | 01 |
| Street Address |
3525 LOMA VISTA RD STE A |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653866 | Joseph Paul Amis | Physician Assistant | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2019-01-11 |
| 1891144952 | Sean Michael Husted | Physical Therapist | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2016-06-09 |
| 1932499332 | Sohrab Pahlavan | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2011-04-19 |
| 1811296890 | Elizabeth Erin Worthley | Physician Assistant | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2011-03-16 |
| 1205090289 | Kentaro Pressly Suzuki | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2008-07-18 |
| 1538336573 | Joshua Saul Gluck | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2008-05-09 |
| 1962681718 | Jason Kent Hofer | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2007-10-29 |
| 1497766273 | Kari Lynn Odenath | Physician Assistant | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2006-08-10 |
| 1871547315 | Ventura Orthopedics Medical Group, Inc. | Specialist | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2006-05-20 |
| 1194781005 | Thomas John Horn | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2006-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700163243 | Paul David Levitt | Orthopaedic Surgery | 1020 Woodstock Ln, Ventura, CA 93001-3838 | 2011-11-11 |
| 1194967117 | Orthopaedics Limited | Orthopaedic Surgery | 3418 Loma Vista Rd Ste B, Ventura, CA 93003-3065 | 2009-04-06 |
| 1063441327 | Denise Stennette | Orthopaedic Surgery | 2660 E Main St, Ventura, CA 93003-2893 | 2006-06-30 |
| 1043284326 | Karl Edward Buechsenschuetz | Orthopaedic Surgery | 3525 Loma Vista Rd, Ventura, CA 93003-3101 | 2006-02-14 |
| 1659991941 | Ross Burge, Do, A Professional Corporation | Orthopaedic Surgery | 168 N Brent St Ste 505, Ventura, CA 93003-2840 | 2020-04-16 |
| 1902359995 | Brandon Mckinney | Orthopaedic Surgery | 147 N Brent St, Ventura, CA 93003 | 2016-07-26 |
| 1710367693 | Stephan Sweet, M.d. Inc. | Orthopaedic Surgery | 168 N Brent St, Ste 505, Ventura, CA 93003-2817 | 2015-06-04 |
| 1417362757 | Casey Pyle | Orthopaedic Surgery | 147 N Brent St, Ventura, CA 93003-2809 | 2014-06-25 |
| 1194054585 | Tadashi Takara | Orthopaedic Surgery | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2009-12-14 |
| 1205090289 | Kentaro Pressly Suzuki | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2008-07-18 |
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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.