Organization Active NPI

GMD Medical Corporation

  • Anesthesiology Physician
  • Palo Alto, CA
National Provider Identifier
1922767813
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GMD MEDICAL CORPORATION
Practice address
1795 El Camino Real FL 2
Palo Alto, CA 94306-1164
Phone
(650) 787-4765
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
David Glenn, MD
Title
President
Phone
(650) 787-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1795 El Camino Real FL 2
Palo Alto, CA 94306-1164

Mailing address

195 Hillside Ave
Menlo Park, CA 94025-6537
Phone (650) 787-4765

Other practice location 1

450 Sutter St Rm 400
San Francisco, CA 94108-3907
Phone (415) 393-9588

Other identifiers 1

IdentifierTypeStateIssuer
1194875229MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1922767813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HILLSIDE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256537",
            "telephone_number": "650-787-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 EL CAMINO REAL FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061164",
            "telephone_number": "650-787-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Sutter St Rm 400",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941083907",
            "country_code": "US",
            "telephone_number": "415-393-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GMD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-787-4765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194875229",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.