Individual provider Active NPI

Glenn Steven Silverman

  • Assisted Living Facility
  • Carmichael, CA
National Provider Identifier
1508347782
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
342700186 Issued in CA
Practice address
3401 Walnut Ave
Carmichael, CA 95608
Phone
(916) 483-6612
NPI assigned
Aug 24, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Assisted Living Facility 310400000X 342700186 CA Primary

Addresses

Primary practice location

3401 Walnut Ave
Carmichael, CA 95608

Mailing address

22 Marinero Cir Apt 59
Tiburon, CA 94920-1621
Phone (415) 789-8858

Other practice location 1

2100 Butano Dr
Sacramento, CA 95825-0448
Phone (916) 481-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
342700186CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Country Club Manor Assisted Living Facility Past Accepting new patients
Solar Senior Living LLC Assisted Living Facility Past Accepting new patients
Solar Senior Living 2 LLC Assisted Living Facility Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1508347782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARINERO CIR APT 59",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949201621",
            "telephone_number": "415-789-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 WALNUT AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-483-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Butano Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958250448",
            "country_code": "US",
            "telephone_number": "916-481-9240",
            "fax_number": "916-481-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "GLENN",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "342700186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.