Eric F. Glassy, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Rancho Dominguez, CA
NPI 1962455337 · NPPES record last updated Jan 27, 2016
Key facts
- NPI
- 1962455337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- G36186 (CA)
- Practice address
- 2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214 - Phone
- (310) 225-3244
- Fax
- (310) 698-7054
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of California, San Francisco School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliated Pathologists Medical Group, Inc.
Practice addresses (Care Compare)
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.39 of 100
- Quality
- 88.62
- Improvement activities
- 40
- Cost
- 77.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050502001347 | CA | Practitioner - Pathology | 3274436407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36186 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G36186 | CA | Yes |
Addresses
Primary practice location
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Mailing address
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301095520 | Other | MI | MEDICAL LICENSE |
| 00G361860 | Medicaid | CA | |
| 01067536A | Other | IN | MEDICAL LICENSE |
| 13541 | Other | NV | MEDICAL LICENSE |
| 35.095409 | Other | OH | MEDICAL LICENSE |
| G36186 | Other | CA | MEDICAL LICENSE |
Other providers in Rancho Dominguez, CA
- Nicole Gracella Arredondo
- Scott Binder
- Alessandro De Vito
- Essilor Laboratories of America, Inc
- Nicolas Gallegos II
- Wamda Goreal
- Rasam Hajiannasab
- Nicholas Max Harding-Jackson
- Home Medix, Inc
- Todd Howard
All providers in Rancho Dominguez, CA · Anatomic Pathology & Clinical Pathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.