Active NPI
Glenn Francis Libby
- Pulmonary Disease Physician
- Long Beach, CA
National Provider Identifier
1609832328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G-027802
- Practice address
- 2699 Atlantic Ave
Long Beach, CA 90806-2710 - Phone
- (562) 426-3333
- Fax
- (562) 424-0837
- NPI assigned
- Apr 21, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G-027802 | CA | Primary |
Addresses
Primary practice location
2699 Atlantic Ave
Long Beach, CA 90806-2710
Mailing address
2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333
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 |
|---|---|---|---|
| G-027802 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Pulmonologists and Intensivists Network | Pulmonary Disease | Past | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Pulmonary Disease Physician
- Long Beach, CA
- NPI 1053852376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1609832328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-424-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062710",
"telephone_number": "562-426-3333",
"fax_number": "562-424-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBY",
"first_name": "GLENN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G-027802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.