Janie Keesling Vestal Gleghorn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2H74 Issued in MO

Practice address

1156 High St
Santa Cruz, CA 95064-1077

Phone

(831) 459-2211

Fax

(831) 459-3546

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Janie Keesling Vestal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Paul Ware, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1952178048
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1821225012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PENNSYLVANIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622432",
            "telephone_number": "417-848-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 HIGH ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950641077",
            "telephone_number": "831-459-2211",
            "fax_number": "831-459-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEGHORN",
        "first_name": "JANIE",
        "middle_name": "KEESLING VESTAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2H74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821225012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00894278",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIE",
            "last_name": "VESTAL",
            "middle_name": "KEESLING",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leron Givens
• Caroline Deanne Gjerstad, PA-C
• Chenelle Gladden, RN
• James Glancy, MD
• Abigail May Glasser
• Forrest Gleitsman
• Kona Maren Gleitsman, MFT TRAINEE
• Kerry Glendening, DTCM, L.AC
• Glenn E. Harper, M.D., Inc.
• John Charles Glina, MD

• Family Medicine Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.