Individual provider Active NPI

Casper Glenn, M.D.

  • Personal Emergency Response Attendant
  • Harbor City, CA
National Provider Identifier
1649315508
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
G48007 Issued in CA
Practice address
1052 Woodbury Dr
Harbor City, CA 90710-1241
Phone
(310) 922-5054
Fax
(424) 263-4331
NPI assigned
Feb 20, 2007
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X A50893 CA
Personal Emergency Response Attendant 146D00000X G48007 CA Primary

Addresses

Primary practice location

1052 Woodbury Dr
Harbor City, CA 90710-1241

Mailing address

5450 Lincoln Blvd
Playa Vista, CA 90094-2002
Phone (310) 305-9200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040122000438 CA Practitioner - Internal Medicine 3375445224 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50893CAMDPersonal Emergency Response Attendant
G48007CAMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Center of South Bay, Inc. CurrentSince Aug 20, 2019 Accepting new patients
Silicon Beach Medical Center Inc CurrentSince Apr 17, 2019 Accepting new patients
Cep America - California Current Accepting new patients
KND Development 59 LLC CurrentSince Aug 11, 2025 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Aug 11, 2025 Accepting new patients
Glenn Medical Group Inc Past Accepting new patients

Locations

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

4712 Admiralty Way
#574
Marina del Rey, CA 90292

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5450 Lincoln Blvd
Playa Vista, CA 90094
Phone (310) 305-2800

4305 Torrance Blvd
Ste 106
Torrance, CA 90503
Phone (310) 542-9758

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1649315508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 LINCOLN BLVD",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942002",
            "telephone_number": "310-305-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 WOODBURY DR",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101241",
            "telephone_number": "310-922-5054",
            "fax_number": "424-263-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CASPER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "A50893",
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G48007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

Verify at the official NPI Registry.