NPIMap

Organization Active NPI

Nijole Glaze ,M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1770828543
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63700 Issued in CA
Legal business name
NIJOLE GLAZE ,M.D.
Practice address
937 S Alvarado St Ste 1D
Los Angeles, CA 90006-3037
Phone
(213) 385-0016
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Mrs. Nijole Glaze, M.D
Title
Physician
Phone
(213) 385-0016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A63700 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X PA14180 CA

Addresses

Primary practice location

937 S Alvarado St Ste 1D
Los Angeles, CA 90006-3037

Mailing address

937 S Alvarado St Ste 1D
Los Angeles, CA 90006-3037
Phone (213) 385-0016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1770828543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 S ALVARADO ST STE 1D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063037",
            "telephone_number": "213-385-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 S ALVARADO ST STE 1D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063037",
            "telephone_number": "213-385-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIJOLE GLAZE ,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "NIJOLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-385-0016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63700",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "PA14180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.