Individual provider Active NPI

Todd A Glauser, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
National Provider Identifier
1336139773
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G080983 Issued in CA
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 297-7826
Fax
(520) 544-0060
NPI assigned
Oct 26, 2005
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G080983 CA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 31710 AZ

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

PO Box 500541
San Diego, CA 92150-0541
Phone (520) 256-0892

Other identifiers 2

IdentifierTypeStateIssuer
A20765770OtherAZBLUE CROSS BLUE SHIELD
906399MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000480 CA Practitioner - Pathology 6305837899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Mayo Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology Specialists IncGroup PAC ID 3173784295, 2 clinicians

Practice addresses (Care Compare)

1687 Erringer Rd
Simi Valley, CA 93065-6509
Phone (805) 583-4463

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31710AZMDAnatomic Pathology & Clinical Pathology Physician
G080983CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology Specialists Inc CurrentSince Oct 13, 2023 Accepting new patients
Benjamin Basseri MD Inc. CurrentSince Aug 17, 2019 Accepting new patients
Easton Pathology Group Past Accepting new patients

Locations

2355 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 966-7650

8631 W 3rd St
Ste 1015
Los Angeles, CA 90048
Phone (310) 652-4472

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

1687 Erringer Rd
Ste 103
Simi Valley, CA 93065
Phone (310) 927-1286

2060 E Avenida de los Arboles
Ste D
Thousand Oaks, CA 91362
Phone (805) 409-7290

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1336139773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500541",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921500541",
            "telephone_number": "520-256-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-297-7826",
            "fax_number": "520-544-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUSER",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G080983",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "31710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A20765770",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "906399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.