Susan Kristina Glabe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17081 Issued in CA

Practice address

7 Park Center Dr Ste 100
Sacramento, CA 95825-8363

Phone

(916) 569-4400

Fax

(916) 569-4401

NPI assigned

Apr 16, 2009

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• River City Medical Group, Inc.

  dba Sacramento Family Medical Center

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1083722516
  NPD (past)
• River Oaks Medical Group, Inc.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1194819011
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1598908816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MURIETA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222832",
            "telephone_number": "916-452-0333",
            "fax_number": "916-451-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PARK CENTER DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258363",
            "telephone_number": "916-569-4400",
            "fax_number": "916-569-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLABE",
        "first_name": "SUSAN",
        "middle_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17081",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "PA17081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tysha Givens
• Giving Smiles
• Eric Giza, M.D.
• Trevor P Gjeltema, IMF
• Lars Gjerde, AGACNP-BC
• Onzia Gladden
• Mia Kristine Gladding, RD
• Marina N Gladko
• Craig Bryce Glaiberman, MD
• Kendall Glantz

• Medical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.