Active NPI
Brian Leslie Gwartz, M.D.
- Pain Medicine (Anesthesiology) Physician
- Glendora, CA
National Provider Identifier
1619095247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A43746
- Practice address
- 210 S Grand Ave
315
Glendora, CA 91741-4205 - Phone
- (626) 857-7400
- Fax
- (626) 857-7404
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A43746 | CA | Primary |
Addresses
Primary practice location
210 S Grand Ave
315
Glendora, CA 91741-4205
Mailing address
210 S Grand Ave
315
Glendora, CA 91741-4205
Phone (626) 857-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A43746 | Other | CA | CALIFORNIA |
| 00A437461 | 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 |
|---|---|---|---|
| 43746 | CA | MD | Marriage & Family Therapist |
| A43746 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BLG Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1568691707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619095247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "315",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205",
"telephone_number": "626-857-7400",
"fax_number": "626-857-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "315",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205",
"telephone_number": "626-857-7400",
"fax_number": "626-857-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWARTZ",
"first_name": "BRIAN",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A43746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "A43746",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A437461",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.