Active NPI
Todd A Glauser, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G080983
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A20765770 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 906399 | Medicaid | AZ |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1687 Erringer Rd
Simi Valley, CA 93065-6509
Phone (805) 583-4463
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31710 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
| G080983 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology & Hepatology Specialists Inc | Current | Accepting new patients | |
| Benjamin Basseri MD Inc. | Current | 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.
-
- Gastroenterology Physician
- Simi Valley, CA
- NPI 1457625931
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1578908422
-
- Anatomic Pathology Physician
- Easton, PA
- NPI 1164482006
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.