Active NPI
Jerel H Glassman, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Francisco, CA
National Provider Identifier
1508823469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 20A5877
- Practice address
- 1 Shrader Street
Suite 600
San Francisco, CA 94117 - Phone
- (415) 503-7456
- Fax
- (415) 358-8112
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 20A5877 | CA | Primary |
Addresses
Primary practice location
1 Shrader Street
Suite 600
San Francisco, CA 94117
Mailing address
1 Shrader Street
Suite 600
San Francisco, CA 94117
Phone (415) 503-7456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX58770 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110226000038 | CA | Practitioner - Physical Medicine and Rehabilitation | 3971784729 | Practice locations: San Francisco, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Michigan State University College of Osteopathic Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Shrader St
Suite 600
San Francisco, CA 94117-1018
Phone (415) 750-5846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5877 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1508823469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHRADER STREET",
"address_2": "SUITE 600",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94117",
"telephone_number": "415-503-7456",
"fax_number": "415-358-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHRADER STREET",
"address_2": "SUITE 600",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94117",
"telephone_number": "415-503-7456",
"fax_number": "415-358-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "JEREL",
"middle_name": "H",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "20A5877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX58770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.