Glen L Xiong (NPI# 1114945102, PAC ID# 6103829007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1114945102 |
| PAC ID by PECOS | 6103829007 |
| Professional Enrollment ID | I20060815000181 |
| Full Name | Glen L Xiong |
| Address |
1133 42nd St Sacramento CA 95819-3607 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050599 | UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1133 42nd St, Sacramento, CA 95819-3607 | ||
| 2315 Stockton Blvd, Sacramento, CA 95817-2201 | REGENTS OF THE UNIV OF CA | |
| 4860 Y St, Sacramento, CA 95817-2307 | 8002823284 | REGENTS OF THE UNIV OF CA |
| 4860 Y St, Suite 2100, Sacramento, CA 95817-2307 | 9167343800 | REGENTS OF THE UNIV OF CA |
| Street Address |
1133 42ND ST |
| City | SACRAMENTO |
| State | CA |
| Zip | 95819-3607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Macdonald | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Risa I Macdonald | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Catherine Mascal | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Nathan Hatton | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Kelley Renee Kukis | Physical Therapy | East Sacramento Physical Therapy, Inc | 3400 Elvas Ave, Sacramento, CA 95819-1913 |
| Mary Elizabeth Horner | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Lawrence Bass | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Margaret Parsons | Dermatology | Dermatology Consultants of Sacramento, A Medical Corp | 5340 Elvas Ave, Suite 600, Sacramento, CA 95819-2385 |
| Brian M Morrow | Diagnostic Radiology | Virtual Radiologic Professionals of California Pa | 3940 H St, Apt 206, Sacramento, CA 95819-2759 |
| Jean Claude L Veille | Obstetrics/gynecology | Obstetrix Medical Group of Sacramento PC | 5151 F St, Sacramento, CA 95819-3223 |
| Find all physicians in zip 95819 | |||
| City | SACRAMENTO |
| Zip Code | 95819 |
| Specialty | PSYCHIATRY |
| City + Specialty | SACRAMENTO + PSYCHIATRY |
Please comment or provide details below to improve the information on Glen L Xiong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.