Active NPI
Patricia Glatt, MD
- Family Medicine Physician
- Novato, CA
National Provider Identifier
1306936729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53034
- Practice address
- 101 Rowland Way Ste 200
Novato, CA 94945-5056 - Phone
- (415) 878-7200
- Fax
- (415) 369-1387
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G53034 | CA | Primary |
Addresses
Primary practice location
101 Rowland Way Ste 200
Novato, CA 94945-5056
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 878-5056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G53034 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306936729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-878-5056",
"fax_number": "715-369-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROWLAND WAY STE 200",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455056",
"telephone_number": "415-878-7200",
"fax_number": "415-369-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATT",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2023-03-07",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G53034",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.