Glutality Provider Group of California PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GLUTALITY PROVIDER GROUP OF CALIFORNIA PC

Practice address

7250 Redwood Blvd Ste 300
Novato, CA 94945-3269

Phone

(561) 678-2026

Fax

(561) 423-9249

NPI assigned

Jan 9, 2023

Last updated

Jul 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Stottland

Title

Owner

Phone

(561) 678-2026

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1235843723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FAIRWAY DR STE 200",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411800",
            "telephone_number": "561-678-2026",
            "fax_number": "561-423-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 REDWOOD BLVD STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453269",
            "telephone_number": "561-678-2026",
            "fax_number": "561-423-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUTALITY PROVIDER GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "STOTTLAND",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-678-2026"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Angel Giampaoli, RN, MSN, CNL, PHN
• Randall P Gibson, LAC
• Christy Marie Gill
• Lara Danielle Giusti
• Patricia Glatt, MD
• Robert Paul Gnat, DNP, FNP, ENP
• Cody Godfrey, DO
• Jeremy Goldberg
• Golden Gate Pharmacy Services (Golden Gate Pharmacy)
• Golden Gate Pharmacy Services

• Internal Medicine Physician in Novato, CA
• Providers in Novato, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.