GLENN SCOTT ADRIANO ROLDAN (NPI# 1598316259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598316259 |
| Entity Type | Individual |
| Full Name | GLENN SCOTT ADRIANO ROLDAN |
| Practice Address |
4220 Legacy Ct Salida CA 95368-9758 |
| Practice Telephone | 9258765326 |
| Mailing Telephone | 9258765326 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
450 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4220 LEGACY CT |
| City | SALIDA |
| State | CA |
| Zip Code | 95368-9758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710390653 | Sajida Khan | Technician | 5020 Tamara Way, Salida, CA 95368 | 2014-06-09 |
| 1891112561 | Quality Care Transportation Inc | Non-emergency Medical Transport (VAN) | 5600 Pirrone Rd, Salida, CA 95368 | 2014-03-19 |
| 1104253046 | Teri Lynn Collet | Social Worker | 5032 Treetop Dr., Salida, CA 95368 | 2013-10-10 |
| 1265785588 | Jonathan Edward Bruno | Behavioral Analyst | 5716 Pirrone Rd., Salida, CA 95368 | 2012-10-24 |
| 1821440645 | Terra Oehler | Behavioral Analyst | 5716 Pirrone Rd, Salida, CA 95368 | 2016-07-05 |
| 1760862148 | California Imaging Partners, Inc. | Radiology | 4536 Broadway Unit 906, Salida, CA 95368-2037 | 2015-06-01 |
| 1013406248 | Up Care Med LLC | Internal Medicine | 4605 Old Mill Ct, Salida, CA 95368-8015 | 2018-05-03 |
| 1376856856 | Kimberlee Ann Hamilton | Case Manager/Care Coordinator | 4504 Sun Down Pl, Salida, CA 95368-8020 | 2010-07-26 |
| 1104323740 | Life Saving Images Inc | Clinic/Center | 5628 Pirrone Rd, Salida, CA 95368-8203 | 2018-04-10 |
| 1124290531 | Marinello Manuel | Dentist | 5604 Pirrone Rd, Salida, CA 95368-8203 | 2008-03-25 |
| Find all providers in zip 95368 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391799 | Iman Shirali | Specialist/Technologist, Other | 1818 S State College Blvd Unit 430, Anaheim, CA 92806-8921 | 2020-03-19 |
| 1649655143 | Brain Science Technologies Inc | Specialist/Technologist, Other | 4482 Barranca Pkwy Ste 240, Irvine, CA 92604-4770 | 2015-07-25 |
| 1972922714 | Corticare, Inc. | Specialist/Technologist, Other | 5950 La Place Ct Ste 160, Carlsbad, CA 92008-8831 | 2014-04-09 |
| 1194015354 | Matthew R Conley | Specialist/Technologist, Other | 2945 Townsgate Rd, Suite 200, Westlake Village, CA 91361-5803 | 2011-04-08 |
| 1356643449 | Elite Neurodiagnostics Inc. | Specialist/Technologist, Other | 5727 W Avenue K2, Lancaster, CA 93536-5647 | 2010-11-23 |
| 1861624959 | Roberta Jean Esfandiarfard | Specialist/Technologist, Other | 3154 El Tejon Rd, Cameron Park, CA 95682-9108 | 2009-08-22 |
| 1265662563 | Fastech Mobile Eeg | Specialist/Technologist, Other | 3154 El Tejon Road, Cameron Park, CA 95682-9108 | 2009-07-21 |
| 1568954584 | South Bay Sleep Center LLC | Specialist/Technologist, Other | 21515 Hawthorne Blvd Ste 200, Torrance, CA 90503-6512 | 2018-06-05 |
| 1497138689 | Brad Levy | Specialist/Technologist, Other | 4482 Barranca Pkwy, Suite #240, Irvine, CA 92604-7701 | 2015-07-07 |
| 1427327956 | Jonathan F Harris | Specialist/Technologist, Other | 1900 Point West Way, Optimal Neurofeedback Suite 144, Sacramento, CA 95815-4705 | 2011-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLENN SCOTT ADRIANO ROLDAN.
| 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.