ERIC VICTOR GLASSMAN PA-C NPI 1447287206

NPI Information

NPI: 1447287206
Provider Name: ERIC VICTOR GLASSMAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 722-7038
Get Directions

Eric Victor Glassman, PA-C is a surgical physician assistant in Newport Beach, CA with 21 years of experience. Eric Victor Glassman, PA-C NPI is 1447287206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 CORPORATE PLAZA DR
NEWPORT BEACH, CA
ZIP 92660-985
Phone: (949) 722-7038
Fax: (949) 630-4951

The NPI 1447287206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA17028	CALIFORNIA	No
2	363AS0400X	Physician Assistant	Surgical	PA17028	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GX035Z	OTHER	CALIFORNIA	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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