Individual provider Active NPI

Stephanie Rose Glatts, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Northridge, CA
National Provider Identifier
1720768559
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002124 Issued in CA
Practice address
19420 Merridy St
Northridge, CA 91324-1132
Phone
(609) 501-7614
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002124 CA Primary

Addresses

Primary practice location

19420 Merridy St
Northridge, CA 91324-1132

Mailing address

19420 Merridy St
Northridge, CA 91324-1132
Phone (609) 501-7614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113001591 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547617599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians
Advanced Anesthesia Specialists a Medical CorporationGroup PAC ID 0042340705, 9 clinicians

Practice addresses (Care Compare)

1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025

7230 Medical Ctr Dr
Suite 500
West Hills, CA 91307-4024
Phone (818) 348-7246

Hospital & facility affiliations

  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Oct 3, 2025 Accepting new patients

Locations

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1720768559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 MERRIDY ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241132",
            "telephone_number": "609-501-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 MERRIDY ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241132",
            "telephone_number": "609-501-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATTS",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.