Glenn H. Weissman, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G41381 Issued in CA

Legal business name

GLENN H. WEISSMAN, MD, INC

Practice address

51 N Fifth Ave
Ste 202
Arcadia, CA 91006-3739

Phone

(626) 357-6222

Fax

(626) 357-0115

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Harmon Weissman, MDNPI 1689606311

Title

Owner

Phone

(626) 357-6222

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Harmon Weissman, MD

  • Specialist
  • Arcadia, CA
  • NPI 1689606311
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922021310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N. FIFTH AVE.",
            "address_2": "STE. 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063739",
            "telephone_number": "626-357-6222",
            "fax_number": "626-357-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N FIFTH AVE",
            "address_2": "STE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063739",
            "telephone_number": "626-357-6222",
            "fax_number": "626-357-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN H. WEISSMAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-357-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G41381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.