Glen William Trefry, ATP

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

929 E Foothill Blvd
103
Upland, CA 91786-4037

Phone

(909) 224-9095

Fax

(909) 985-9895

NPI assigned

Feb 1, 2007

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

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730226150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1378",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851378",
            "telephone_number": "909-224-9095",
            "fax_number": "909-985-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E FOOTHILL BLVD",
            "address_2": "103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864037",
            "telephone_number": "909-224-9095",
            "fax_number": "909-985-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREFRY",
        "first_name": "GLEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewelry Tran
• Sophia Tran, OD
• Thu Tran
• Nicholas Oswaldo Transito, DDS
• Nicolas Transito, DDS
• Christian Manuel Trejo
• Christina Trepagnier
• Dennis Trigueros, MD
• Trinity Hospice and Palliative Care
• Trinity Hospice Inc

• Other Specialist/Technologist in Upland, CA
• Providers in Upland, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.