Theodore Glaessner, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

CFE23343 Issued in CA

Practice address

1491 Capri Dr
Pacific Palisades, CA 90272-2706

Phone

(310) 454-4243

NPI assigned

Feb 4, 2011

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1699071878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CAPRI DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CAPRI DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722706",
            "telephone_number": "310-454-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAESSNER",
        "first_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "CFE23343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Robinson Geller, MPT
• Gezel Saheli MD.Inc
• Hooshang Ghaffari, DENTIST
• Marilyn Ginsburg, MFT
• Leslie Kathleen Giraldo, P.T.
• Gracia Margaret Goade, M.D.
• Joseph John Godges, D.P.T.
• Margaret J. Jane Goldenhersh, M.D.
• Ronna Goore, MS, CCC-SLP
• Alexander Scranton Gordon I, LMFT

• Diagnostic Radiology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.