Glynis Reina Ablon, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G77280 Issued in CA

Practice address

1600 Rosecrans Ave
BLDG 6a Suite 12
Manhattan Beach, CA 90266-3708

Phone

(310) 727-3376

Fax

(310) 727-3377

NPI assigned

Feb 6, 2006

Last updated

Feb 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ablon Skin Institute

  dba Glynis R. Ablon

  • Dermatology Physician
  • Manhattan Beach, CA
  • NPI 1144265893
  NPD (past) Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1144292889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "BLDG 6A SUITE 12",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-727-3376",
            "fax_number": "310-727-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "BLDG 6A SUITE 12",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-727-3376",
            "fax_number": "310-727-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLON",
        "first_name": "GLYNIS",
        "middle_name": "REINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G772800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G77280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G772801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron P Gerson DDS
• Sarah Aaron, DPT
• Michael Erwin Perena Abad
• Ablon Skin Institute (Glynis R. Ablon)
• Adams&Gimlen Dental Partnership
• Advanced Sports Medicine & Orthopedic PT
• Sunil Adwani, M.D.
• Ae Professional Medical Group Corporation
• Affection Home Health Inc

• Dermatology Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.