Individual provider Active NPI

Christopher Glazener, MD

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1164458170
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A37699 Issued in CA
Practice address
4033 3Rd Ave Ste 106
San Diego, CA 92103-2136
Phone
(619) 497-2888
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A37699 CA Primary

Addresses

Primary practice location

4033 3Rd Ave Ste 106
San Diego, CA 92103-2136

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (858) 495-0971

Other practice location 1

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-6000

Other practice location 2

3939 Ruffin Rd Ste 101
San Diego, CA 92123-1804
Phone (619) 299-9530

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100108000772 CA Practitioner - Anesthesiology 4284521956 Reassigns benefits to 3 organizations
Practice locations: La Mesa, CA; San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3939 Ruffin Rd
Suite 101
San Diego, CA 92123-1804
Phone (619) 299-9530

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

770 Washington St
Suite 101
San Diego, CA 92103-2209
Phone (619) 229-9530

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score
79.11 of 100Reported as individual
Quality
63.85
Improvement activities
40
Cost
72.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Anesthesia Consultants PC Anesthesiology CurrentSince Feb 17, 2022 Accepting new patients
Garrett S Hilt Certified Registered Nursing Anesthesia Inc Anesthesiology CurrentSince Jan 23, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients

Locations

860 Oak Park Blvd
Ste 102
Arroyo Grande, CA 93420
Phone (805) 458-8661

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3444 Kearny Villa Rd
Ste 100
San Diego, CA 92123
Phone (858) 268-3566

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

3939 Ruffin Rd
Ste 101
San Diego, CA 92123
Phone (619) 299-9430

Organizations & group practices 3

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 3

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": "1560988800000",
    "number": "1164458170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "858-495-0971",
            "fax_number": "858-495-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032136",
            "telephone_number": "619-497-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3939 Ruffin Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231804",
            "country_code": "US",
            "telephone_number": "619-299-9530",
            "fax_number": "619-296-5316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZENER",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.