PATRICIA IRENE GLICK (NPI# 1932225992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932225992 |
| Entity Type | Individual |
| Full Name | PATRICIA IRENE GLICK |
| Credential | CRNP |
| Practice Address |
415 Rolling Oaks Dr Suite 260 Thousand Oaks CA 91361-1029 |
| Practice Telephone | 8053714700 |
| Practice Fax Number | 8053714713 |
| Mailing Telephone | 8053714700 |
| Mailing Fax Number | 8053714713 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP5832 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| Street Address |
415 ROLLING OAKS DR SUITE 260 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665586 | Glenn Eric Waldman | Specialist | 415 Rolling Oaks Dr, Suite 190, Thousand Oaks, CA 91361-1029 | 2006-01-30 |
| 1588198790 | Kiavash Nikkhou Md Inc | Urology | 415 Rolling Oaks Dr, Suite 260, Thousand Oaks, CA 91361-1029 | 2017-04-13 |
| 1598216020 | Edge Medical Services | Clinic/Center | 415 Rolling Oaks Dr, 191, Thousand Oaks, CA 91361-1029 | 2016-10-19 |
| 1366992828 | Edge Medical Services | Clinic/Center | 415 Rolling Oaks Dr, 190, Thousand Oaks, CA 91361-1029 | 2016-10-09 |
| 1114396298 | Push Midwifery | Midwife | 415 Rolling Oaks Dr, Suite 190, Thousand Oaks, CA 91361-1029 | 2015-09-18 |
| 1740681014 | Victoria Lauren Hofius | Physical Therapist | 415 Rolling Oaks Dr, Thousand Oaks, CA 91361-1029 | 2014-09-05 |
| 1003216276 | Rolling Oaks Surgery Center LLC | Clinic/Center | 415 Rolling Oaks Dr, Suite 115, Thousand Oaks, CA 91361-1029 | 2014-08-25 |
| 1477780229 | Aviisha Medical Corporation | Dietitian, Registered | 415 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1029 | 2009-06-19 |
| 1154597623 | Lisa De Fazio | Dietitian, Registered | 415 Rolling Oaks Dr, Suite 210, Thousand Oaks, CA 91361-1029 | 2008-05-05 |
| 1033312079 | Farideh Kohanghadosh | Dentist | 415 Rolling Oaks Dr, Suite 120, Thousand Oaks, CA 91361-1029 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on PATRICIA IRENE GLICK.
| 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.