Active NPI
John L Glavinovich MD Inc
- Emergency Medicine Physician
- Santa Ana, CA
National Provider Identifier
1790703478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- JOHN L GLAVINOVICH MD INC
- Practice address
- 1901 College Ave
Santa Ana, CA 92706-2334 - Phone
- (714) 564-7800
- Fax
- (818) 587-2493
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John L Glavinovich, MD
- Title
- Owner/President
- Phone
- (714) 564-7800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1901 College Ave
Santa Ana, CA 92706-2334
Mailing address
PO Box 4419
Woodland Hills, CA 91365-4419
Phone (818) 340-9988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0100700 | Medicaid | CA | |
| ZZZ66298Z | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790703478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4419",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913654419",
"telephone_number": "818-340-9988",
"fax_number": "818-587-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 COLLEGE AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062334",
"telephone_number": "714-564-7800",
"fax_number": "818-587-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L GLAVINOVICH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLAVINOVICH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "714-564-7800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ66298Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Jacqueline Joerres
- John G. Alevizos DO, Inc. (Tustin Irvine Medical Group- Santa Ana)
- John G. Alevizos, D.O., a Professional Medical Corporation (Edinger Urgent Care)
- John Henry Foundation
- John J. Ursino, MD Inc
- John Parkhur DMD Inc (Friendly Smile Dental)
- John Whittington
- Zamara John
- Allison L Johns
- Brittany Beth Johns
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.