John Luke Glavinovich, M.D.

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

G31910 Issued in CA

Practice address

4330 Barranca Parkway
Suite 112
Irvine, CA 92604-4755

Phone

(949) 307-6210

Fax

(949) 497-4225

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glavinovich Medical Corporation

  • Prevention Professional
  • Laguna Beach, CA
  • NPI 1033086269
  Medicare reassignment NPD Authorized official
• John L Glavinovich MD Inc

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1790703478
  NPD (past) Authorized official
• Southern California Acute Care Physicians

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1881641462
  NPD (past) Authorized official
• Western Acute Care Physicians, Inc.

  • Clinic/Center
  • Downey, CA
  • NPI 1700353828
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1942220330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 PANORAMA DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511278",
            "telephone_number": "949-307-6210",
            "fax_number": "949-497-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PARKWAY",
            "address_2": "SUITE 112",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044755",
            "telephone_number": "949-307-6210",
            "fax_number": "949-497-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Panorama Dr",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926511278",
            "country_code": "US",
            "telephone_number": "949-307-6210",
            "fax_number": "949-497-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAVINOVICH",
        "first_name": "JOHN",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31910",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "G31910",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G31910",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "G31910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G319100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G319100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930107459",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana M Girnita, MD, PHD
• Mark Giunta, MS
• Marysa Glabman, M.P.T.
• Betty Glante, NP
• Tyler Segio Glassford
• Lauren Kelly Akemi Gleason, D.D.S.
• Megan Elizabeth Gless
• Global Clinical Trials, LLC
• Global Discovery Biosciences Corporation
• Global Talent Therapy

• Prevention Professional in Irvine, CA
• Providers in Irvine, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.

Verify at the official NPI Registry.