Individual provider Active NPI

Meredith Glickman, M.D.

  • Pediatrics Physician
  • Thousand Oaks, CA
National Provider Identifier
1851363097
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A061852 Issued in CA
Practice address
430 Avenida de Los Arboles
#201
Thousand Oaks, CA 91360-3003
Phone
(805) 493-1964
Fax
(805) 492-0614
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A061852 CA Primary

Addresses

Primary practice location

430 Avenida de Los Arboles
#201
Thousand Oaks, CA 91360-3003

Mailing address

430 Avenida de Los Arboles
#201
Thousand Oaks, CA 91360-3003
Phone (805) 493-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A061852CAMDPediatrics Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drglickman@awvp.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851363097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES",
            "address_2": "#201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603003",
            "telephone_number": "805-493-1964",
            "fax_number": "805-492-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 AVENIDA DE LOS ARBOLES",
            "address_2": "#201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603003",
            "telephone_number": "805-493-1964",
            "fax_number": "805-492-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "MEREDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A061852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.