NPIMap

Individual provider Active NPI

Mitchell Glodowski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Camarillo, CA
National Provider Identifier
1689602237
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4616 Issued in CA
Practice address
3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501
Phone
(805) 531-1089
Fax
(808) 531-5489
NPI assigned
Jun 30, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4616 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501

Mailing address

3901 Las Posas Rd
Suite #9
Camarillo, CA 93010-1501
Phone (805) 531-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000508 CA Practitioner - Podiatry 4587664198 Reassigns benefits to 3 organizations
Practice locations: Camarillo, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

2361 E Vineyard Ave
Oxnard, CA 93036-2102
Phone (805) 981-3770

3901 Las Posas Rd
Suite 9
Camarillo, CA 93010-1502
Phone (805) 531-1089

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue241
Removal of skin lesions12
Removal of nail tissue1943
Removal or shaving of skin growth629
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Intervention Specialists Inc CurrentSince Mar 11, 2024 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2014 Accepting new patients
Coastal Foot Care Services, Inc Foot & Ankle Surgery CurrentSince Mar 17, 2008 Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2014 Accepting new patients
South Queens Nephrology Associates Past Accepting new patients
W Michael Green, MD Inc Past Accepting new patients
Vdah Corp PastSince Feb 1, 2013 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

3901 Las Posas Rd
Ste 9
Camarillo, CA 93010
Phone (805) 484-8111

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

13400 Sherman Way
North Hollywood, CA 91605
Phone (818) 983-0103

655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1600 N Rose Ave
#M
Oxnard, CA 93030
Phone (805) 504-6905

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

19231 Victory Blvd
Ste 155
Reseda, CA 91335
Phone (818) 457-4512

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: mglodowski3514860@oc.providencedirect.org
  • Direct secure messaging: mitchellglodowski@cfh.allscriptsdirect.net
  • Direct secure messaging: mitchellglodowski@cofc.allscriptsdirect.net

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1689602237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE #9",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-531-1089",
            "fax_number": "808-531-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE #9",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-531-1089",
            "fax_number": "808-531-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODOWSKI",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.