Active NPI
Lana Gleckman, RN
- Nurse Practitioner
- South San Francisco, CA
National Provider Identifier
1114409059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019148
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95174722 | CA | MD | Registered Nurse |
| 95019148 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Current | Accepting new patients | |
| Human Longevity Inc | Current | 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
- lgleckman189140@direct-ucsfmedicalcenter.org
- 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.
-
- Family Medicine Physician
- South San Francisco, CA
- NPI 1316697386
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
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.