Glenn W James

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A22067 Issued in CA

Practice address

475-750 Rice Canyon Road High Desert State Prison
Susanville, CA 96127-0750

Phone

(530) 251-5100

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Glenn W James Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164627410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BUNYAN RD",
            "address_2": "NA",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303147",
            "telephone_number": "530-257-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475-750 RICE CANYON ROAD HIGH DESERT STATE PRISON",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961270750",
            "telephone_number": "530-251-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GLENN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "JAMES",
            "middle_name": "W",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bonnie Marie Idso, MSCCCSLP
• Integrative Counseling Services
• Iron Pine Health a Nursing Professional Corporation
• Teri Lea Jackson
• James L. Snell PHD LMFT
• Jay M Beams MD Inc
• Jay M Beams MD,Inc
• Carolyn Johnson, LMFT
• Heather Johnson
• Nichole Leshawn Johnson

• Family Medicine Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.