Leah Suzanne Glavan, BSN RN CIS

Primary specialty

Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X

License

481004 Issued in CA

Practice address

4101 Torrance Blvd
Torrance, CA 90503-4607

Phone

(310) 540-7676

NPI assigned

Nov 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1003681230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LIND AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573368",
            "telephone_number": "855-537-4470",
            "fax_number": "866-315-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-540-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAN",
        "first_name": "LEAH",
        "middle_name": "SUZANNE",
        "credential": "BSN RN CIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "CA",
            "license": "481004",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "CA",
            "license": "481004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GL Sciences, Inc.
• GL Surgery Center LLC
• Aaron C Gladman, MD
• Wilsonaie Maxine Gladney
• Kaleah Elyse Glass
• Robert N Glazer, MD
• Ryan Gleber, MD, BS
• Peter Gleiberman, M.D.
• Glen I Komatsu M D a Professional Corporation
• Glenn a. Pasternack, M.D. & Tamar F. Singer, M.D., Inc.

• Clinical Nurse Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.