Individual provider Active NPI

Lana Gleckman, RN

  • Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1114409059
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019148 Issued in CA
Practice address
600 Gateway Blvd Ste 101
South San Francisco, CA 94080-7014
Phone
(844) 838-3322
Fax
(858) 430-2741
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95174722 CA
Nurse Practitioner 363L00000X 95019148 CA Primary

Addresses

Primary practice location

600 Gateway Blvd Ste 101
South San Francisco, CA 94080-7014

Mailing address

600 Gateway Blvd Ste 101
South San Francisco, CA 94080-7014
Phone (844) 838-3322

Other practice location 1

85 Paseo Mirasol
Tiburon, CA 94920-2079
Phone (415) 847-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95174722CAMDRegistered Nurse
95019148CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince May 26, 2022 Accepting new patients
Human Longevity Inc CurrentSince Jan 12, 2025 Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

600 Gateway Blvd
Ste 101
South San Francisco, CA 94080
Phone (844) 838-3322

Interoperability endpoints

  • Direct secure messaging: lgleckman189140@direct-ucsfmedicalcenter.org
  • Direct secure messaging: lana.gleckman.1@33479.direct.athenahealth.com

Organizations & group practices 2

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1114409059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GATEWAY BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807014",
            "telephone_number": "844-838-3322",
            "fax_number": "858-430-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GATEWAY BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807014",
            "telephone_number": "844-838-3322",
            "fax_number": "858-430-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Paseo Mirasol",
            "address_purpose": "LOCATION",
            "city": "Tiburon",
            "state": "CA",
            "postal_code": "949202079",
            "country_code": "US",
            "telephone_number": "415-847-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLECKMAN",
        "first_name": "LANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95174722",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.