Glenn Tisman M D a Medical

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

G19173A Issued in CA

Legal business name

GLENN TISMAN M D A MEDICAL

Practice address

13025 Bailey St
Whittier, CA 90601-4211

Phone

(562) 789-8822

NPI assigned

Jul 10, 2006

Last updated

Aug 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn TismanNPI 1659373983

Title

Doctor

Phone

(562) 789-8822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Tisman, M.D.

  • Specialist
  • Whittier, CA
  • NPI 1659373983
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1659305266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 BAILEY ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 BAILEY ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014211",
            "telephone_number": "562-789-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN TISMAN M D A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "TISMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-789-8822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "CA",
            "license": "G19173A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ59344Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Tod Giles, FNP
• Steven Michael Giordano, NP
• Melissa Giron
• James Forrest Glancy, DDS
• Glen D. Jarus, M.D., Inc.
• Glenview Pathology Medical Group Inc
• Global Healthcare Services (Achieve Beyond)
• Glory Home Care, Inc. (McNees DDN Whittier)
• Hector Godina
• Loren Goff

• Oncology Clinic/Center in Whittier, CA
• Providers in Whittier, CA by specialty
• Oncology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.