DR. GLENN A PASTERNACK (NPI# 1356453518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356453518 |
| Entity Type | Individual |
| Full Name | DR. GLENN A PASTERNACK |
| Credential | MD |
| Practice Address |
3831 Hughes Ave Suite 602 Culver City CA 90232-2748 |
| Practice Telephone | 3105588063 |
| Practice Fax Number | 3102046556 |
| Mailing Telephone | 3105588063 |
| Mailing Fax Number | 3102046556 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | G39086 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G39086 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0G3908600 | 05 |
| Street Address |
3831 HUGHES AVE SUITE 602 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209242 | Optc Westside Inc | Physical Therapist | 3831 Hughes Ave, Ste 104, Culver City, CA 90232-2751 | 2005-07-19 |
| 1316501273 | Clear Allergy Inc | Allergy & Immunology | 3831 Hughes Ave, Culver City, CA 90232-2751 | 2019-04-26 |
| 1306235171 | Lauren H. Felipe | Optometrist | 3831 Hughes Ave, Suite 500, Culver City, CA 90232-2751 | 2015-01-16 |
| 1275938300 | Elise Leizerovich | Occupational Therapist | 3831 Hughes Ave, Suite 506, Culver City, CA 90232-2751 | 2014-10-31 |
| 1023413457 | Kenton S. Wan | Physical Therapist | 3831 Hughes Ave, Suite # 104, Culver City, CA 90232-2751 | 2014-10-28 |
| 1124447974 | Sunday Okundolor | Registered Nurse | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2014-04-09 |
| 1922432715 | Amanda Knight Jamieson | Physical Therapist | 3831 Hughes Ave, Suite #104, Culver City, CA 90232-2751 | 2013-08-28 |
| 1275967341 | Imelda Okoli | Nurse Practitioner | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2013-08-26 |
| 1841635224 | Zachary Scott Tobiasz | Physical Therapy Assistant | 3831 Hughes Ave, Ste 104, Culver City, CA 90232 | 2013-04-30 |
| 1366780306 | Culver City Specialty and Podiatry Group | Podiatrist | 3831 Hughes Ave, Suite 700, Culver City, CA 90232-2751 | 2013-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
Please comment or provide details below to improve the information on DR. GLENN A PASTERNACK.
| 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.