Organization Active NPI

Glenna Tolbert MD a Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Encino, CA
National Provider Identifier
1659529899
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G70820 Issued in CA
Legal business name
GLENNA TOLBERT MD A MEDICAL CORPORATION
Practice address
17609 Ventura Blvd
Suite 114
Encino, CA 91316-5119
Phone
(818) 784-7197
Fax
(818) 784-3060
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Kelvin Tolbert
Title
Business Manager
Phone
(818) 784-7197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X G70820 CA Primary
Spinal Cord Injury Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P0004X G70820 CA

Addresses

Primary practice location

17609 Ventura Blvd
Suite 114
Encino, CA 91316-5119

Mailing address

17609 Ventura Blvd Ste 114
Encino, CA 91316-5119
Phone (818) 784-7197

Other names 1

  • Center for Rehabilitation and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000299 CA Part B Supplier - Clinic/Group Practice 8426111261 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory
Tax ID family
Glenna Tolbert MD AMC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17609 Ventura Blvd
Ste 114
Encino, CA 91316
Phone (818) 784-7197

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1659529899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 114",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165119",
            "telephone_number": "818-784-7197",
            "fax_number": "818-784-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE 114",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165119",
            "telephone_number": "818-784-7197",
            "fax_number": "818-784-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNA TOLBERT MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "818-784-7197"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G70820",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "CA",
            "license": "G70820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Rehabilitation and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.