Glenn K. Takei, M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G35093 Issued in CA

Legal business name

GLENN K. TAKEI, M.D., INC.

Practice address

931 Buena Vista St
Suite 505
Duarte, CA 91010-1712

Phone

(626) 357-9931

Fax

(626) 359-0739

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Amber Jordan

Title

Office Facilitator

Phone

(626) 357-9931

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1275859548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 505",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-9931",
            "fax_number": "626-359-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 505",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-9931",
            "fax_number": "626-359-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN K. TAKEI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE FACILITATOR",
        "authorized_official_telephone_number": "626-357-9931"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G35093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G350930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Gibbins, P.A.
• Christina Marie Gibson, NURSE PRACTITIONER
• Lauren Gima, MS, LCGC
• Christine M Glaser, MD
• Scott M Glaser, MD
• GM Medical Clinic
• James Godfrey, MD
• Juana Godinez
• Gold Path, Inc.
• Lior Goldberg, MD

• Orthopaedic Surgery Physician in Duarte, CA
• Providers in Duarte, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.