DR. JOHN LUKE GLAVINOVICH (NPI# 1942220330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942220330 |
| Entity Type | Individual |
| Full Name | DR. JOHN LUKE GLAVINOVICH |
| Credential | M.D. |
| Practice Address |
4330 Barranca Parkway Suite 112 Irvine CA 92604-4755 |
| Mailing Address |
456 Panorama Dr Laguna Beach CA 92651-1278 |
| Practice Telephone | 9493076210 |
| Practice Fax Number | 9494974225 |
| Mailing Telephone | 9493076210 |
| Mailing Fax Number | 9494974225 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G31910 | CA | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
G31910 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G31910 | CA | Allopathic & Osteopathic Physicians |
| Y | 405300000X | Prevention Professional | G31910 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G319100 | 05 | |
| CA | RAILROAD MEDICARE | 930107459 | 01 |
| CA | BLUE SHIELD | 00G319100 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 456 Panorama Dr, Laguna Beach, CA 926511278 | 9493076210 | 9494974225 |
| Street Address |
4330 BARRANCA PARKWAY SUITE 112 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.