Glenn Eric Waldman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A62183 Issued in CA

Practice address

415 Rolling Oaks Dr
Suite 190
Thousand Oaks, CA 91361-1029

Phone

(805) 494-4797

Fax

(805) 494-4810

NPI assigned

Jan 30, 2006

Sex

Male

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 1

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

Specialty

Otolaryngology

Education

University of Southern California Keck School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Feinfield, M.D. IncGroup PAC ID 3173614930, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as individual

Quality

76.67

Improvement activities

40

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.

• Jeffrey Feinfield, M.D. Inc

  • Specialist
  • Thousand Oaks, CA
  • NPI 1013047455
  Medicare reassignment Care Compare group
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1881665586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 190",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-494-4797",
            "fax_number": "805-494-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 190",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-494-4797",
            "fax_number": "805-494-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "GLENN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A62183A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Duc-Tuan Vu, PHARMD
• Tessa Waggoner, PT
• Hogan Wagner, BA
• Sean B Wagner, D.C.
• Jeff Waldberg, PT, MOMT
• Donald Waldrep, M.D.
• Walgreen Co
• Sophia Julie Lynn Wall
• Erica Wallace
• Harvey I Wallack, M.D.

• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.