David Georg Glick, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G53604 Issued in CA

Practice address

16101 Ventura Blvd Ste 240
Encino, CA 91436-2513

Phone

(818) 784-9304

Fax

(818) 784-9307

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encino Place Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
  • NPI 1083732721
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235257049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 WESTWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630231",
            "telephone_number": "818-784-9304",
            "fax_number": "818-784-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 240",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362513",
            "telephone_number": "818-784-9304",
            "fax_number": "818-784-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "DAVID",
        "middle_name": "GEORG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G53604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Glaser, MD
• Glenmark Nursing Care Services Inc.
• Glenna Tolbert MD a Medical Corporation (Center for Rehabilitation and Wellness)
• Glenna Tolbert, MD, a Medical Corporation (Center for Rehabilitation & Wellness)
• Craig Allen Glick, DDS
• Linda Susan Glick, M.A.
• Susan Glickman
• Ariella Glodowski, DDS
• Rhonda Glowalla, LICENSED ED. PSYCHOL
• Naomi Ruth Godfrey, LMFT

• Plastic Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Plastic Surgery 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.