DR. CASPER GLENN (NPI# 1649315508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649315508 |
| Entity Type | Individual |
| Full Name | DR. CASPER GLENN |
| Credential | M.D. |
| Practice Address |
5450 Lincoln Blvd Playa Vista CA 90094-2002 |
| Practice Telephone | 3103059200 |
| Practice Fax Number | 3103052800 |
| Mailing Telephone | 3103059200 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | G48007 | CA | Emergency Medical Service Providers |
| N | 146D00000X | Personal Emergency Response Attendant | A50893 | CA | Emergency Medical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4859 W Slauson Ave, #305, Los Angeles, CA 900561283 | 3238464265 |
| Street Address |
5450 LINCOLN BLVD |
| City | PLAYA VISTA |
| State | CA |
| Zip Code | 90094-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430669 | Pacific Medical Group | Surgery | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-09-02 |
| 1437784873 | Yeranui Stepanyan | Nurse Practitioner | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2020-03-05 |
| 1972025948 | Silicon Beach Surgery Center Inc | Clinic/Center | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-07-12 |
| 1689100745 | Playa Medical Management LLC | Prevention Professional | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-05-11 |
| 1285168955 | Marina Nikiforova | Chiropractor | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2017-04-19 |
| 1760876783 | Rmpm Group Inc | Podiatrist | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225408586 | Merle Morgan | Acupuncturist | 12871 W. Runway Rd, Unit 1, Playa Vista, CA 90094 | 2015-09-30 |
| 1134518004 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 12746 W Jefferson Blvd, Ste 3160, Playa Vista, CA 90094 | 2015-01-15 |
| 1619170537 | Ivette Osorio | Speech-Language Pathologist | 13080 Pacific Promenade, #213, Playa Vista, CA 90094 | 2007-06-07 |
| 1033201363 | Nancy Lee Rosser | Psychiatry & Neurology | 200 S. Barrington Ave., 1907, Los Angeles, CA 90094 | 2006-09-28 |
| 1134570476 | Mahsa Eghbali | Pharmacist | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2016-06-28 |
| 1871960708 | Cassandra Wong | Nurse Practitioner | 12746 W Jefferson Blvd, Playa Vista, CA 90094 | 2015-08-26 |
| 1336505460 | West Coast Surgical Associates | Clinic/Center | 5450 Pacific Coast Hwy, 545, Playa Vista, CA 90094-2002 | 2016-01-05 |
| 1225308729 | Stephanie Cohen | Social Worker | 13175 Fountain Park Dr, A-420, Playa Vista, CA 90094-2023 | 2011-12-31 |
| 1598711566 | Playa Physical Therapy | Clinic/Center | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2006-05-25 |
| 1790035632 | Terry Chu | Physical Therapist | 13163 Fountain Park Dr, Suite A, Playa Vista, CA 90094-2040 | 2012-09-19 |
| Find all providers in zip 90094 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895405 | Nora G Ferguson | Personal Emergency Response Attendant | 12245 Manor Dr Apt C, Hawthorne, CA 90250-3751 | 2017-11-16 |
| 1689118614 | Vincent Viola | Personal Emergency Response Attendant | 5055 Walnut Park Dr, Santa Barbara, CA 93111-1837 | 2016-12-09 |
| 1497100382 | Henry Davis Harris | Personal Emergency Response Attendant | 4632 1/2 St Charles Pl, Los Angeles, CA 90019-5730 | 2016-04-28 |
| 1659789543 | Judith Daley | Personal Emergency Response Attendant | 211 Hidden Ln, Santa Cruz, CA 95060-1276 | 2014-07-24 |
| 1679816391 | Emma M Dermody | Personal Emergency Response Attendant | 4482 Hyacinth Ave, Oakland, CA 94619-2816 | 2013-04-01 |
| 1245570670 | Lewis Rosenberg | Personal Emergency Response Attendant | 3790 Parkview Dr, Lakewood, CA 90712-3843 | 2013-02-21 |
| 1003106170 | Instant Care, Inc. | Personal Emergency Response Attendant | 2310 Cousteau Ct, Vista, CA 92081-8346 | 2011-04-11 |
| 1558651711 | Tristan David Cavender | Personal Emergency Response Attendant | 915 57th St, San Diego, CA 92114-1205 | 2011-04-08 |
| 1104115195 | Nejat Basiratmand | Personal Emergency Response Attendant | 17740 Burbank Blvd, # 101, Encino, CA 91316-1648 | 2011-03-31 |
| 1821392390 | Muna Vienna | Personal Emergency Response Attendant | 1275 Quarry St, Corona, CA 92879-1707 | 2010-12-27 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA VISTA |
| Zip Code | 90094 |
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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.