Individual provider Active NPI

Glenn Strome, MD

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1528054582
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G82083 Issued in CA
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

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G820830MedicaidCA

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

LicenseStateTypeSpecialty
MD28108TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburg Open MRI Diagnostic Radiology CurrentSince Jul 14, 2012 Accepting new patients
Associates in Diagnostic Radiology Inc Diagnostic Radiology Past Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology PastSince Jan 1, 2014 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 PastSince Jan 1, 2012 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology PastSince Jul 22, 2025 Accepting new patients
Emeryville Advanced Imaging Center Diagnostic Radiology PastSince Jan 20, 2010 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.

View all 13

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.

Verify at the official NPI Registry.