Active NPI
Thomas A Glassman, M.D.
- Pediatrics Physician
- Sherman Oaks, CA
National Provider Identifier
1750352829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G28902
- Practice address
- 4330 Fulton Ave
Sherman Oaks, CA 91423-3907 - Phone
- (818) 784-1102
- Fax
- (818) 784-1653
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G28902 | CA | Primary |
Addresses
Primary practice location
4330 Fulton Ave
Sherman Oaks, CA 91423-3907
Mailing address
4330 Fulton Ave
Sherman Oaks, CA 91423-3907
Phone (818) 784-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28902 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1750352829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 FULTON AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233907",
"telephone_number": "818-784-1102",
"fax_number": "818-784-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 FULTON AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233907",
"telephone_number": "818-784-1102",
"fax_number": "818-784-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G28902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.