Active NPI
Glatt Medical a Professional Medical Corporation
- Addiction Medicine (Internal Medicine) Physician
- Burlingame, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- GLATT MEDICAL A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 1860 El Camino Real Ste 301
Burlingame, CA 94010-3114 - Phone
- (650) 552-8100
- Fax
- (650) 552-8105
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel J Glatt, MD
- Title
- Owner
- Phone
- (650) 552-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
1860 El Camino Real Ste 301
Burlingame, CA 94010-3114
Mailing address
1860 El Camino Real Ste 301
Burlingame, CA 94010-3114
Phone (650) 552-8100
Other names 1
- Glatt Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250401000950 | CA | Part B Supplier - Clinic/Group Practice | 3678096591 |
Receives reassigned benefits from 1 practitioner Practice locations: Burlingame, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2324662 | Glatt Medical a Professional Medical Corporation | Certificate of waiver | May 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Burlingame, CA
- NPI 1649228917
Addiction Medicine, CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1073319554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 EL CAMINO REAL STE 301",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103114",
"telephone_number": "650-552-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 EL CAMINO REAL STE 301",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103114",
"telephone_number": "650-552-8100",
"fax_number": "650-552-8105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLATT MEDICAL A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "GLATT",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-552-8100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Glatt Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.