Individual provider Active NPI

Brittany C Glenn, DO

  • Emergency Medicine Physician
  • Laguna Niguel, CA
National Provider Identifier
1114280443
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A15745 Issued in CA
Practice address
31341 Niguel Rd Ste F
Laguna Niguel, CA 92677-4118
Phone
(949) 444-5803
Fax
(949) 444-5804
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A15745 CA Primary

Addresses

Primary practice location

31341 Niguel Rd Ste F
Laguna Niguel, CA 92677-4118

Mailing address

31341 Niguel Rd Ste F
Laguna Niguel, CA 92677-4118
Phone (949) 444-5803

Other practice location 1

31341 Niguel Rd Ste G
Laguna Niguel, CA 92677-4118
Phone (949) 444-5803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116002963 CA Practitioner - Emergency Medicine 9739308016 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenndoc, IncGroup PAC ID 9133519366, 3 clinicians

Practice addresses (Care Compare)

31341 Niguel Rd
Suite Fandg
Laguna Niguel, CA 92677-4118
Phone (949) 444-5803

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15745CAMDMental Health Counselor
20A15745CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Glenndoc, Inc Emergency Medicine CurrentSince Nov 23, 2021 Accepting new patients
Emergency Medicine Specialists of Orange County Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Riverside Emergency Physicians Medical Group Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

31341 Niguel Rd
Ste Fg
Laguna Niguel, CA 92677
Phone (949) 444-5803

31341 Niguel Rd
Ste G
Laguna Niguel, CA 92677
Phone (949) 234-9720

31341 Niguel Rd
Ste F
Laguna Niguel, CA 92677
Phone (949) 444-5803

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1114280443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31341 NIGUEL RD STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774118",
            "telephone_number": "949-444-5803",
            "fax_number": "949-444-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31341 NIGUEL RD STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774118",
            "telephone_number": "949-444-5803",
            "fax_number": "949-444-5804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31341 Niguel Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926774118",
            "country_code": "US",
            "telephone_number": "949-444-5803",
            "fax_number": "949-444-5804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BRITTANY",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A15745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.