Active NPI
Susan Glaubiger, PA-C
- Surgical Physician Assistant
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 51901
- Practice address
- 38690 Stivers St
#A
Fremont, CA 94536-5279 - Phone
- (510) 248-1040
- Fax
- (510) 797-7426
- NPI assigned
- Jun 3, 2014
- Last updated
- Sep 25, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 51901 | CA | Primary |
Addresses
Primary practice location
38690 Stivers St
#A
Fremont, CA 94536-5279
Mailing address
38690 Stivers St
#A
Fremont, CA 94536-5279
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51901 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
38690 Stivers St
Ste A
Fremont, CA 94536
Phone (510) 248-1040
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
Interoperability endpoints
- sirizarry48560@santaclaravalley.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1891108270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38690 STIVERS ST",
"address_2": "#A",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38690 STIVERS ST",
"address_2": "#A",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365279",
"telephone_number": "510-248-1040",
"fax_number": "510-797-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAUBIGER",
"first_name": "SUSAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "51901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.