Individual provider Active NPI

Gordon Arthur Glasgow, M.D.

  • Cardiovascular Disease Physician
  • San Juan Capistrano, CA
National Provider Identifier
1972619997
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G38908 Issued in CA
Practice address
26661 Buckingham Dr
San Juan Capistrano, CA 92675-1421
Phone
(714) 402-9942
Fax
(949) 364-7229
NPI assigned
Aug 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G38908 CA Primary

Addresses

Primary practice location

26661 Buckingham Dr
San Juan Capistrano, CA 92675-1421

Mailing address

PO Box 3433
Mission Viejo, CA 92690-1433
Phone (714) 402-9942

Other identifiers 2

IdentifierTypeStateIssuer
00G389080MedicaidCA
G38908OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101215000827 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8527140375 Reassigns benefits to 1 organization
Practice locations: San Juan Capistrano, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38908CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compassus of California Physicians Group, P.C. CurrentSince Dec 31, 2025 Accepting new patients
CP Napa N-Ca Hospice, LLC Past Accepting new patients
Hospice Care of America, LLC PastSince Sep 4, 2022 Accepting new patients
CP Sonoma N-Ca Hospice, LLC Past Accepting new patients
Hospice Care of America, LLC PastSince May 3, 2020 Accepting new patients

Locations

414 S Jefferson St
Napa, CA 94559
Phone (707) 258-9080

416 Payran St
Petaluma, CA 94952
Phone (707) 343-8494

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Huntington Valley Healthcare CenterHuntington Beach, CA, CCN 055888 Skilled nursing facility Contracted Managing Employee Dec 1, 1988
Town & CountrySanta Ana, CA, CCN 555141 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 1983
Sep 1, 1998

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972619997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3433",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926901433",
            "telephone_number": "714-402-9942",
            "fax_number": "949-364-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26661 BUCKINGHAM DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751421",
            "telephone_number": "714-402-9942",
            "fax_number": "949-364-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "GORDON",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G38908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G389080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G38908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.