Active NPI
Henry Gleed Nebeker, MD
- Nephrology Physician
- Burbank, CA
National Provider Identifier
1881684850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G43756
- Practice address
- 255 E Orange Grove Ave
Ste D
Burbank, CA 91502-1240 - Phone
- (818) 848-5595
- Fax
- (818) 848-5749
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G43756 | CA | Primary |
Addresses
Primary practice location
255 E Orange Grove Ave
Ste D
Burbank, CA 91502-1240
Mailing address
255 E Orange Grove Ave
Ste D
Burbank, CA 91502-1240
Phone (818) 848-5595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069980 | Medicaid | CA | |
| G43756 | Other | CA LIC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43756 | CA | MD | Marriage & Family Therapist |
| G43756 | CA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881684850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E ORANGE GROVE AVE",
"address_2": "STE D",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021240",
"telephone_number": "818-848-5595",
"fax_number": "818-848-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E ORANGE GROVE AVE",
"address_2": "STE D",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021240",
"telephone_number": "818-848-5595",
"fax_number": "818-848-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEBEKER",
"first_name": "HENRY",
"middle_name": "GLEED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G43756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LIC",
"identifier": "G43756",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.