GLENNA TOLBERT, MD, A MEDICAL CORPORATION (NPI# 1356628002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356628002 |
| Entity Type | Organization |
| Organization Name | GLENNA TOLBERT, MD, A MEDICAL CORPORATION |
| Other Organization Name | CENTER FOR REHABILITATION & WELLNESS |
| Practice Address |
17609 Ventura Blvd Suite 114 Encino CA 91316-3858 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8187847197 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | GLENNA TOLBERT (OWNER) |
| Authorized Official Telephone | 8187847197 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENNA TOLBERT, MD, A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Center for Rehabilitation & Wellness | Doing Business As Name - Organization |
| Street Address |
17609 VENTURA BLVD SUITE 114 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070412 | Crescent Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 17609 Ventura Blvd, Ste Ll06, Encino, CA 91316-5137 | 2006-05-16 |
| 1033507447 | Meri Tchouvandjian | Occupational Therapist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2015-01-07 |
| 1982001285 | Noffar Kaspi | Speech-Language Pathologist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-12-02 |
| 1811394224 | Jessica Biber | Occupational Therapist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-12-01 |
| 1528481918 | Ivette Zubiate | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2014-01-21 |
| 1215365515 | Heather Valentine | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-10-23 |
| 1659705390 | Nirali Parikh | Rehabilitation Unit | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-08-29 |
| 1730513029 | Caitlin Gattuccio | Speech-Language Pathologist | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-08-22 |
| 1467897892 | Hien Thi Mao | Behavioral Analyst | 17609 Ventura Blvd, Suite 215, Encino, CA 91316-3858 | 2013-04-29 |
| 1487997854 | Jennifer Mon | Physical Therapist | 17609 Ventura Blvd, 215, Encino, CA 91316-3858 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235680802 | Wizard of Eyes Optical | Non-Pharmacy Dispensing Site | 17205 Ventura Blvd Unit A, Encino, CA 91316-4007 | 2016-10-19 |
| 1912277625 | Drx Pro, Inc | Non-Pharmacy Dispensing Site | 16530 Ventura Blvd Ste 411, Encino, CA 91436-5061 | 2012-01-11 |
| 1508135484 | Jeffrey B. Glaser, M.d., Medical Corporation | Non-Pharmacy Dispensing Site | 16311 Ventura Blvd, Suite 775, Encino, CA 91436-2124 | 2011-12-21 |
| 1497058432 | Michael J. Hollander, M.d., Inc. | Non-Pharmacy Dispensing Site | 16030 Ventura Blvd, Suite 400, Encino, CA 91436-2731 | 2010-12-14 |
| 1366744724 | Dermatology and Laser Medical Center, Inc | Non-Pharmacy Dispensing Site | 16260 Ventura Blvd, Ste 140, Encino, CA 91436-2203 | 2010-11-17 |
| 1548570054 | Shiraz Medical Group, Inc | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2010-10-18 |
| 1861701021 | Keyvan Shirazi, Md | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 | 2010-10-05 |
| 1477862985 | Keyvan Shirazi, Md | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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| 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.