Active NPI
Glenn Strome, MD
- Diagnostic Radiology Physician
- San Jose, CA
National Provider Identifier
1528054582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G82083
- Practice address
- 3031 Tisch Way Ste 400
San Jose, CA 95128-2531 - Phone
- (408) 244-2100
- Fax
- (408) 244-6596
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G82083 | CA | Primary |
Addresses
Primary practice location
3031 Tisch Way Ste 400
San Jose, CA 95128-2531
Mailing address
3031 Tisch Way Ste 400
San Jose, CA 95128-2531
Phone (408) 244-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G820830 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28108 | TN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburg Open MRI | Diagnostic Radiology | Current | Accepting new patients |
| Associates in Diagnostic Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Vallejo Open MRI Center | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Past | Accepting new patients |
| Affiliates in Imaging, a Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Pacific Imaging Consultants, a Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Plaza Radiology, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Past | Accepting new patients |
| Emeryville Advanced Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Past | Accepting new patients |
Locations
1441 E Leland Rd
Ste E
Pittsburg, CA 94565
Phone (925) 473-9290
79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1528054582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 TISCH WAY STE 400",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282531",
"telephone_number": "408-244-2100",
"fax_number": "408-244-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 TISCH WAY STE 400",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282531",
"telephone_number": "408-244-2100",
"fax_number": "408-244-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROME",
"first_name": "GLENN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G82083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G820830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.