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GLEN DANIEL JARUS MD NPI 1619952306


NPI Information

NPI: 1619952306
Provider Name: GLEN DANIEL JARUS, MD
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
6319 S GREENLEAF AVE
WHITTIER, CA
ZIP 90601
Phone: (562) 945-2468
Get Directions

Glen Daniel Jarus, MD is a retina specialist ophthalmology in Whittier, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Glen Daniel Jarus, MD NPI is 1619952306. 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:

6319 S GREENLEAF AVE
WHITTIER, CA
ZIP 90601-536
Phone: (562) 945-2468
Fax: (562) 945-8804

The NPI 1619952306 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 12/14/2005 and was last updated on 4/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0107XOphthalmologyRetina SpecialistG36924CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11782AMEDICARE ID-TYPE UNSPECIFIED
2GR0053740MEDICAIDCALIFORNIA
3GR0053741MEDICAIDCALIFORNIA
4W11782MEDICARE ID-TYPE UNSPECIFIED
5A91835MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.