Individual provider Active NPI

Iris Gluzman, MD

  • Hospitalist Physician
  • Fountain Valley, CA
National Provider Identifier
1447323613
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A87953 Issued in CA
Practice address
17150 Euclid St Suite 200
Fountain Valley, CA 92708
Phone
(714) 497-3033
NPI assigned
Nov 16, 2006
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A87953 CA
Hospitalist Physician 208M00000X A87953 CA Primary

Addresses

Primary practice location

17150 Euclid St Suite 200
Fountain Valley, CA 92708

Mailing address

13217 Jamboree Rd # 514
Tustin, CA 92782-9158
Phone (714) 497-3033

Other identifiers 1

IdentifierTypeStateIssuer
A87953MedicaidCA

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
I20070725000766 CA Practitioner - Internal Medicine 6406957042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (714) 497-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87953CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Gluzman MD Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Advanced Hospitalist Medical Group, Inc. Past Accepting new patients

Locations

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

13217 Jamboree Rd
Tustin, CA 92782
Phone (714) 277-5033

Interoperability endpoints

  • Direct secure messaging: igluzmanmd16351@direct.memorialcare.org
  • Direct secure messaging: iris.gluzman.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1447323613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 JAMBOREE RD # 514",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829158",
            "telephone_number": "714-497-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST SUITE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-497-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUZMAN",
        "first_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87953",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A87953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A87953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.