Active NPI
Glenn A. Handler, MD
- Dermatology Physician
- Vacaville, CA
National Provider Identifier
1851479679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G43138
- Practice address
- 1 Quality Dr
Vacaville, CA 95688-9494 - Phone
- (707) 453-5000
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G43138 | CA | Primary |
Addresses
Primary practice location
1 Quality Dr
Vacaville, CA 95688-9494
Mailing address
PO Box 72445
Davis, CA 95617-2445
Phone (530) 753-0123
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
| License | State | Type | Specialty |
|---|---|---|---|
| G43138 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1851479679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72445",
"city": "DAVIS",
"state": "CA",
"postal_code": "956172445",
"telephone_number": "530-753-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 QUALITY DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889494",
"telephone_number": "707-453-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLER",
"first_name": "GLENN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G43138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.