Individual provider Active NPI

Joseph Edward Glaser, M.D.

  • Obstetrics & Gynecology Physician
  • Murrieta, CA
National Provider Identifier
1841360229
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A37319 Issued in CA
Practice address
25460 Medical Center Dr
Suite 100
Murrieta, CA 92562-5985
Phone
(951) 677-4748
Fax
(951) 677-2926
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A37319 CA Primary

Addresses

Primary practice location

25460 Medical Center Dr
Suite 100
Murrieta, CA 92562-5985

Mailing address

25460 Medical Center Dr
Suite 100
Murrieta, CA 92562-5985
Phone (951) 677-4748

Other identifiers 1

IdentifierTypeStateIssuer
GR0050580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000324 CA Practitioner - Obstetrics/Gynecology 6800957101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37319CAMDGeneral Practice Dentistry
A37319CAMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: jeg109pcs1307@primeclinicalsystems.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1841360229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-677-4748",
            "fax_number": "951-677-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-677-4748",
            "fax_number": "951-677-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A37319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.