Organization Active NPI

Glenn Medical Group Inc

  • Emergency Medicine Physician
  • Harbor City, CA
National Provider Identifier
1114841624
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GLENN MEDICAL GROUP INC
Practice address
1052 Woodbury Dr
Harbor City, CA 90710-1241
Phone
(310) 922-5054
Fax
(424) 263-4331
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Dr. Casper Turnage Glenn, MDNPI 1649315508
Title
Medical Director
Phone
(804) 469-0044

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1052 Woodbury Dr
Harbor City, CA 90710-1241

Mailing address

1052 Woodbury Dr
Harbor City, CA 90710-1241
Phone (310) 922-5054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1114841624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 WOODBURY DR",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101241",
            "telephone_number": "310-922-5054",
            "fax_number": "434-363-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 WOODBURY DR",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101241",
            "telephone_number": "310-922-5054",
            "fax_number": "424-263-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "CASPER",
        "authorized_official_middle_name": "TURNAGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-469-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.