NPIMap

Organization Active NPI

Glenn D Littenberg MD Inc

  • Gastroenterology Physician
  • Pasadena, CA
National Provider Identifier
1336337542
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G27849 Issued in CA
Legal business name
GLENN D LITTENBERG MD INC
Practice address
630 S Raymond Ave
Suite 240
Pasadena, CA 91105-3278
Phone
(626) 449-9920
Fax
(626) 578-7366
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Glenn D Littenberg, M.D.NPI 1033184973
Title
President
Phone
(626) 449-9920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G27849 CA Primary

Addresses

Primary practice location

630 S Raymond Ave
Suite 240
Pasadena, CA 91105-3278

Mailing address

630 S Raymond Ave
Suite 240
Pasadena, CA 91105-3278
Phone (626) 449-9920

Other identifiers 2

IdentifierTypeStateIssuer
DG8342OtherCARAILROAD MEDICARE PTAN
00G278490MedicaidCA

National Provider Directory

National Provider Directory

Locations

630 S Raymond Ave
Unit 240
Pasadena, CA 91105
Phone (626) 449-9920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1336337542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN D LITTENBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "LITTENBERG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-449-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G27849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DG8342",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G278490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.