Glenn Donald Garbutt, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G13844 Issued in CA

Legal business name

GLENN DONALD GARBUTT, M.D., INC

Doing business as

Valley Nephrology Medical Group

Practice address

1191 E Herndon Ave Ste 102
Fresno, CA 93720-3164

Phone

(559) 448-8481

Fax

(559) 448-0996

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mayra Elizabeth Garcia

Title

Office Administrator/Liaison

Phone

(559) 448-8481

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Nephrology Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Glenn Donald Garbutt, M.D.

  • Nephrology Physician
  • Fresno, CA
  • NPI 1063513737
  Medicare reassignment NPD

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1487045951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-448-8481",
            "fax_number": "559-448-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-448-8481",
            "fax_number": "559-448-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN DONALD GARBUTT, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR/LIAISON",
        "authorized_official_telephone_number": "559-448-8481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G13844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ99970Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Nephrology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart J Glassner, DO
• Ashley Gleason, PMHNP
• Robert Rad Gleason, PA-C
• Andrea L Gleed
• Geoffrey Paul Gleed
• Sarah Glenn
• Gordon Ross Glessner, MFT MA
• Christopher Glezos, MD
• Howard J Glidden, PH.D.
• Glitraze LLC

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.