NPIMap

Individual provider Active NPI

Jeffrey B Glaser, MD

  • Pain Medicine (Anesthesiology) Physician
  • Encino, CA
National Provider Identifier
1154357010
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A64352 Issued in CA
Practice address
16311 Ventura Blvd
Suite #518
Encino, CA 91436-2124
Phone
(818) 501-7246
Fax
(818) 501-7247
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A64352 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A64352 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
Suite #518
Encino, CA 91436-2124

Mailing address

25481 Prado de Oro
Calabasas, CA 91302-3664
Phone (818) 501-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000800 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0143298349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey B Glaser MD MedicalGroup PAC ID 1254309453, 3 clinicians

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 518
Encino, CA 91436-4372
Phone (818) 501-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as individual
Quality
69.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64352CAMDPharmacist
A64352CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey B. Glaser, M.D., Medical Corporation Current Accepting new patients
Jeffrey B Glaser MD Medical Anesthesiology CurrentSince Jan 1, 2002 Accepting new patients
University Medical Center of Southern Nevada Interventional Pain Medicine Past Accepting new patients
Tarzana Medical Center LLC Interventional Pain Medicine Past Accepting new patients
Spring Valley Medical Center Interventional Pain Medicine Past Accepting new patients

Locations

16311 Ventura Blvd
Ste 518
Encino, CA 91436
Phone (818) 501-7246

16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325

Interoperability endpoints

  • Direct secure messaging: jeffrey.glaser.1@2457.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2457/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1154357010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25481 PRADO DE ORO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023664",
            "telephone_number": "818-501-7246",
            "fax_number": "818-501-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE #518",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-7246",
            "fax_number": "818-501-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A64352",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A64352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.