Glow Health Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLOW HEALTH MEDICAL CLINIC

Practice address

655 Irwin St # B1013
San Rafael, CA 94901-3943

Phone

(415) 287-2920

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Tanya Zamorano, DONPI 1508084732

Title

Physician

Phone

(415) 720-1696

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27216/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Silva Zamorano, D.O.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1508084732
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1194442707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 IRWIN ST # B1013",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013943",
            "telephone_number": "415-287-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 IRWIN ST # B1013",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013943",
            "telephone_number": "415-287-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW HEALTH MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "ZAMORANO",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "415-720-1696",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H. Glasser, MD
• Susan Glick, PHD
• Alex Michael Glickman
• April Michelle Glisson
• Ashley Glosz
• Joanna Gobea, FNP
• Stephen Courtney Godfrey, O.D.
• Elizabeth Ayon Godinez
• Adrianne Goff, CCN, M.H.
• Ravinder Gogia, MD

• Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.