Richard G Glogau, M D

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G28282 Issued in CA

Practice address

350 Parnassus Avenue
Suite 400
San Francsico, CA 94117-3608

Phone

(415) 564-1261

Fax

(415) 564-1967

NPI assigned

Dec 24, 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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1831373919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVENUE",
            "address_2": "SUITE 400",
            "city": "SAN FRANCSICO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-564-1261",
            "fax_number": "415-564-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVENUE",
            "address_2": "SUITE 400",
            "city": "SAN FRANCSICO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-564-1261",
            "fax_number": "415-564-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGAU",
        "first_name": "RICHARD",
        "middle_name": "G",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G28282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Family Services
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• Procedural Dermatology Physician in San Francsico, CA
• Providers in San Francsico, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.