Active NPI
Patricia Irene Glick, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Thousand Oaks, CA
National Provider Identifier
1932225992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP5832
- Practice address
- 415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029 - Phone
- (805) 371-4700
- Fax
- (805) 371-4713
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP5832 | CA | Primary |
Addresses
Primary practice location
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029
Mailing address
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029
Phone (805) 371-4700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP5832 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932225992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ROLLING OAKS DR",
"address_2": "SUITE 260",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611029",
"telephone_number": "805-371-4700",
"fax_number": "805-371-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ROLLING OAKS DR",
"address_2": "SUITE 260",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611029",
"telephone_number": "805-371-4700",
"fax_number": "805-371-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICK",
"first_name": "PATRICIA",
"middle_name": "IRENE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP5832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.