Glenndoc, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GLENNDOC, INC

Practice address

31341 Niguel Rd Ste F&G
Laguna Niguel, CA 92677-4118

Phone

(949) 444-5803

Fax

(949) 444-5804

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Brittany C Glenn, DONPI 1114280443

Title

Member

Phone

(216) 337-9351

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany C Glenn, DO

  • Emergency Medicine Physician
  • Laguna Niguel, CA
  • NPI 1114280443
  Medicare reassignment Care Compare group NPD Authorized official
• Florencia Bondi

  • Medical Physician Assistant
  • Alhambra, CA
  • NPI 1447983952
  Medicare reassignment Care Compare group
• Denea Marie Heintz, PA-C

  • Physician Assistant
  • Laguna Niguel, CA
  • NPI 1992484745
  Medicare reassignment Care Compare group
• True Luu McMahan, M.D.

  • Emergency Medicine Physician
  • Laguna Beach, CA
  • NPI 1114977683
  Medicare reassignment NPD
• Laura Bertsch, PA-C

  • Physician Assistant
  • Orange, CA
  • NPI 1881283299
  Medicare reassignment

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1417526112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31341 NIGUEL RD STE F&G",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774118",
            "telephone_number": "949-444-5803",
            "fax_number": "949-444-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31341 NIGUEL RD STE F&G",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774118",
            "telephone_number": "949-444-5803",
            "fax_number": "949-444-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNDOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-337-9351",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nerina Girasol, MSN, RN, AG-CNS
• Richard James Glassock, M.D.
• Jacqueline Judith Gleason, M.S.P.T.
• Glenn P. Frial, DDS, Ms, a Professional Corporation
• Brittany C Glenn, DO
• Agathi Glezakos, PHD LCSW
• Alexander Gold, PHARMD
• Golden Breeze Manor LLC
• Golden Heart Birthing Services
• Alex Charles Goldenring, PT

• Urgent Care Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.