Glen Daniel Jarus, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

G36924 Issued in CA

Practice address

6319 S Greenleaf Ave
Whittier, CA 90601-3536

Phone

(562) 945-2468

Fax

(562) 945-8804

NPI assigned

Dec 14, 2005

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gjarus@rcoc1898.srs-direct.com

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.

• Retina Consultants of Orange County, a Medical Corporation

  • Retina Specialist (Ophthalmology) Physician
  • Fullerton, CA
  • NPI 1770539702
  Medicare reassignment NPD
• Glen D. Jarus, M.D., Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Whittier, CA
  • NPI 1124171657
  Authorized official Same address or phone
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Emanate Health Medical Center

  dba Citrus Valley Medical Center Queen Of the Valley Campus

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1619952306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 S GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013536",
            "telephone_number": "562-945-2468",
            "fax_number": "562-945-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 S GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013536",
            "telephone_number": "562-945-2468",
            "fax_number": "562-945-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARUS",
        "first_name": "GLEN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G36924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0053741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Wells MD, Inc (Heart to Heart Pediatrics)
• Rajnish Jandial, M.D.
• Jannina Darling (Darling Psychology)
• Edward J Jarema, MD
• Maria Ursula Jarrin Lopez
• Jason R Rosano D C Inc (Premier Health Care)
• Jason R Rosano D C Inc (Premier Healthcare)
• Jason S. Lai, M.D.,Inc
• Nathan John Jasperse, MD
• Sessaley Krystine Jauregui, ACSW, PPS

• Retina Specialist (Ophthalmology) Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.