NPIMap

Individual provider Active NPI

Glenn Donald Garbutt, M.D.

  • Nephrology Physician
  • Fresno, CA
National Provider Identifier
1063513737
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G13844 Issued in CA
Practice address
1191 E Herndon Ave Ste 102
Fresno, CA 93720-3164
Phone
(559) 448-8481
Fax
(559) 448-0996
NPI assigned
Sep 26, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G13844 CA Primary

Addresses

Primary practice location

1191 E Herndon Ave Ste 102
Fresno, CA 93720-3164

Mailing address

1381 E Herndon Ave
Suite 102
Fresno, CA 93720-3307
Phone (559) 448-8481

Other identifiers 2

IdentifierTypeStateIssuer
G13844OtherCACALIFORNIA LICENSE
00G138440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000415 CA Practitioner - NephrologyPractitioner - Internal Medicine 0244393528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6777 N Willow Ave
Fresno, CA 93710-5900
Phone (559) 448-8481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G13844CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Oct 6, 2009 Accepting new patients
Glenn Donald Garbutt, M.D., Inc CurrentSince Jul 26, 1973 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Oct 31, 2010 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Trinity Home Health Services CurrentSince Oct 6, 2009 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Oct 31, 2010 Accepting new patients
Valley Nephrology Medical Group Nephrology Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1191 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 448-8481

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1381 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 435-7000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

6777 N Willow Ave
Fresno, CA 93710
Phone (559) 261-2999

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1063513737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 E HERNDON AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203307",
            "telephone_number": "559-448-8481",
            "fax_number": "559-448-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-448-8481",
            "fax_number": "559-448-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBUTT",
        "first_name": "GLENN",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G13844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "G13844",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G138440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.