Active NPI
Phillip Joseph Glivar, M.D.
- Orthopaedic Surgery of the Spine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A139186
- Practice address
- 4234 Riverwalk Pkwy Ste 200
Riverside, CA 92505-3312 - Phone
- (909) 557-1600
- Fax
- (909) 557-1732
- NPI assigned
- May 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35.151900 | OH | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A139186 | CA | Primary |
Addresses
Primary practice location
4234 Riverwalk Pkwy Ste 200
Riverside, CA 92505-3312
Mailing address
4234 Riverwalk Pkwy Ste 200
Riverside, CA 92505-3312
Phone (909) 557-1600
Other practice location 1
11234 Anderson St
GME Office Westerly Suite 'C'
Loma Linda, CA 92354-2804
Phone (909) 558-6444
Other practice location 2
543 Taylor Ave Fl 1
Columbus, OH 43203-1278
Phone (614) 293-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
543 Taylor Ave
Columbus, OH 43203-1278
Phone (614) 688-6400
Hospital & facility affiliations
- Ohio State University State Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 37 |
| Laminectomy or laminotomy (partial removal of spine bones) | 32 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Engineering
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151900 | OH | MD | Orthopaedic Surgery Physician |
| A139186 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Internal Medicine, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| De Anza Orthopedic Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
26600 Cactus Ave
Fl 2
Moreno Valley, CA 92555
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
8805 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 912-1750
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500
2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100
543 Taylor Ave
Fl 1
Columbus, OH 43203
Phone (614) 293-7604
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333
3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pglivar72630@direct.llu.edu
- pglivar1533864@direct.osumc.edu
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1740231448
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Moreno Valley, CA
- NPI 1255762340
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1144630617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053312",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053312",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1732"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_2": "GME Office Westerly Suite 'C'",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-6444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "543 Taylor Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432031278",
"country_code": "US",
"telephone_number": "614-293-2663",
"fax_number": "614-293-2053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLIVAR",
"first_name": "PHILLIP",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35.151900",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A139186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- 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.