JOHN DAVID GLENN (NPI# 1225188030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225188030 |
| Entity Type | Individual |
| Full Name | JOHN DAVID GLENN |
| Credential | MD |
| Practice Address |
975 Sereno Dr Vallejo CA 94589-2441 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 7076511000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G39504 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G395040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417272030 | John Edward Glenn | Massage Therapist | 1434 29th Ave, Seattle, WA 98122-3202 | 2010-04-07 |
| 1437282191 | John Glenn Jr. | Ophthalmology | 2901 E 29th St Ste 101, Bryan, TX 77802-2691 | 2007-03-13 |
| 1780713891 | John Glenn Iv | Chiropractor | 105 Louviers Dr, Newark, DE 19711-4163 | 2007-03-05 |
| 1194765420 | John A Glenn Jr. | Family Medicine | 840 Professional Center Dr, Eastman, GA 31023-6734 | 2006-06-07 |
| 1821056433 | John L Glenn | General Practice | 84 E. State St, St. Mary's Hospital, Gloversville Fam Hlth Cntr, Gloversville, NY 12078 | 2006-05-03 |
| 1457348047 | John D Glenn | Pharmacist | 34 Nw Park Ave, Baxley, GA 31513-0049 | 2005-09-29 |
| 1043681349 | John Glenn | Physical Therapist | 1300 Braden St, Jacksonville, AR 72076-3719 | 2015-10-13 |
| 1457779266 | John Molloy Glenn IIi | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2014-03-31 |
| 1265677942 | John B Glenn IIi | Chiropractor | 3440 Bell St, Suite 122, Amarillo, TX 79109-4142 | 2008-12-09 |
| 1043319676 | John Kenneth Glenn | Physician Assistant | 2460 Ne Griffin Oaks St, Suite D1000, Hillsboro, OR 97124-2672 | 2006-09-21 |
| Street Address |
975 SERENO DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275815946 | Medmek Medical Clinic, Inc. | Internal Medicine | 433 Tuolumne St, Suite, Vallejo, CA 94590-5764 | 2011-09-19 |
| 1730375841 | Mercedes Yadao Rivera | Internal Medicine | 1167 Porter St, Apt G, Vallejo, CA 94590 | 2007-09-21 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1093837783 | Voltaire S. Velarde Md Inc | Internal Medicine | 646 Tennessee St, Vallejo, CA 94590-4433 | 2007-04-04 |
| 1235244146 | Michael C. Luu | Internal Medicine | 2920 Sonoma Blvd, Suite C, Vallejo, CA 94590-3875 | 2006-08-20 |
| 1194747196 | Howard Leslie Feinberg | Internal Medicine | 1310 Club Dr, Vallejo, CA 94592-1187 | 2006-07-25 |
| 1508844796 | Georgia Carol Allen | Internal Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2006-01-06 |
| 1689053720 | Nicholas Taylor | Internal Medicine | 300 Hospital Dr, Vallejo, CA 94589 | 2015-05-21 |
| 1518371798 | Eric Feng | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2014-06-16 |
| 1841552429 | Jeffrey M Costas | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2012-06-11 |
| Find all providers in VALLEJO | ||||
Please comment or provide details below to improve the information on JOHN DAVID GLENN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.