JANIE KEESLING VESTAL GLEGHORN (NPI# 1821225012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821225012 |
Entity Type | Individual |
Full Name | JANIE KEESLING VESTAL GLEGHORN |
Other Name | JANIE KEESLING VESTAL |
Credential | MD |
Practice Address |
1156 High St Santa Cruz CA 95064-1077 |
Mailing Address |
330 Pennsylvania Ave Santa Cruz CA 95062-2432 |
Practice Telephone | 8314592211 |
Practice Fax Number | 8314593546 |
Mailing Telephone | 4178483640 |
Enumeration Date | 2009-06-16 |
Last Update Date | 2018-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | R2H74 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RR MEDICARE | P00894278 | 01 |
MO | 1821225012 | 05 |
Street Address |
1156 HIGH ST |
City | SANTA CRUZ |
State | CA |
Zip Code | 95064-1077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477542785 | Dorje M. Jennette | Psychologist | 1156 High St, Caps, Ucsc Student Health Center, Santa Cruz, CA 95064-1077 | 2005-10-19 |
1558912717 | Nupur Sahai | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2019-09-27 |
1104381995 | Jacquelyn Galbreath Rabouin | Counselor | 1156 High St, Santa Cruz, CA 95064-1077 | 2019-02-05 |
1972084093 | Julia Ragen | Psychologist | 1156 High St, Santa Cruz, CA 95064-0001 | 2018-08-27 |
1932688793 | Susan Jane Gulbe Walsh | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-11 |
1619456845 | Audrey Kim | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-08 |
1881172351 | Luisa Margarita Padilla Ladd | Psychologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
1821576463 | Anna B Iversen | Marriage & Family Therapist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-08-06 |
1275011900 | Blair J Davis | Psychologist | 1156 High St, Cowell Student Health Center, Caps, Santa Cruz, CA 95064-1077 | 2018-08-03 |
1316448285 | Gina Parisi | Specialist/Technologist | 1156 High St, Santa Cruz, CA 95064-1077 | 2018-02-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073091674 | Amy Mandell | Marriage & Family Therapist | 1156 High St, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-06 |
1043798820 | Maryjan Murphy | Psychologist | 1156 High Street, Counseling and Psychological Services, Student Health Center, East Wing, 2nd Floor, Santa Cruz, CA 95064 | 2018-08-02 |
1124244215 | Melinda Carol Padgett | Physician Assistant | University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
1073639092 | Paula Jean Holtz | Psychologist | University of California Santa Cruz Student Health, 1156 High St., Santa Cruz, CA 95064 | 2007-03-21 |
1609904143 | Edward Drew Malloy | Family Medicine | University of California Santa Cruz Student Health Ctr, 1156 High Street, Santa Cruz, CA 95064 | 2007-02-28 |
1710013750 | Diane Lamotte | Pharmacist | 1156 High St., Univeristy of California Santa Cr Uz Student Health, Santa Cruz, CA 95064 | 2007-02-26 |
1235283789 | Erica Lorena Lopez | Marriage & Family Therapist | 1156 High Street, Santa Cruz, CA 95064 | 2007-01-22 |
1740820323 | Deahdra D Bowier | Psychologist | Counseling & Psychological Services, 1156 High Street, Santa Cruz, CA 95064 | 2020-01-10 |
1104389949 | Emilie Elizabeth Cate | Psychologist | 1156 High Street, Santa Cruz, CA 95064 | 2019-04-09 |
1952881740 | Polina Apilado | Psychologist | 1156 High Street, Counseling and Psychological Services, Santa Cruz, CA 95064 | 2018-08-21 |
Find all providers in zip 95064 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003397381 | Jeannine M. Rodems, Md Inc | Family Medicine | 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062-2097 | 2018-08-24 |
1164783049 | Kyle R Keene | Family Medicine | 1301 Mission St, Santa Cruz, CA 95060-3530 | 2012-06-06 |
1346400116 | Jose Luis Barrios Jr. | Family Medicine | 21507 E Cliff Dr # D, Santa Cruz, CA 95062-4844 | 2008-06-14 |
1093931834 | Warren Everett Klausner | Family Medicine | 129 Jewell St, Santa Cruz, CA 95060-1717 | 2007-04-18 |
1609904143 | Edward Drew Malloy | Family Medicine | University of California Santa Cruz Student Health Ctr, 1156 High Street, Santa Cruz, CA 95064 | 2007-02-28 |
1790869238 | Michael J Coulson | Family Medicine | 2980 El Rancho Drive, Santa Cruz, CA 95060 | 2006-10-24 |
1114001674 | Dawn Motyka | Family Medicine | 930 Mission St Ste 5, Santa Cruz, CA 95060-3559 | 2006-10-24 |
1134229206 | Stephen J Halpern | Family Medicine | 550a Water Street, Santa Cruz, CA 95060 | 2006-09-25 |
1205933496 | Santa Cruz Personal Physicians Inc | Family Medicine | 634 Frederick St, Santa Cruz, CA 95062 | 2006-09-20 |
1851493761 | Stephen J Halpern & Jack Watson Mds | Family Medicine | 550a Water St, Santa Cruz, CA 95060 | 2006-09-01 |
Find all providers in SANTA CRUZ |
City | SANTA CRUZ |
Zip Code | 95064 |
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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.