GLENN MARK FISCHBERG MD NPI 1093784951

NPI Information

NPI: 1093784951
Provider Name: GLENN MARK FISCHBERG, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
31700 TEMECULA PKWY
TEMECULA, CA
ZIP 92592
Phone: (951) 331-2200
Get Directions

Glenn Mark Fischberg, MD is a neurology psychiatry neurology in Temecula, CA with 31 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Glenn Mark Fischberg, MD NPI is 1093784951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

31700 TEMECULA PKWY
TEMECULA, CA
ZIP 92592-896
Phone: (951) 331-2200

The NPI 1093784951 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 3/14/2006 and was last updated on 8/16/2022.

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	207RC0200X	Internal Medicine	Critical Care Medicine	G83991	CALIFORNIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	G83991	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
1	1093784951	MEDICAID	CALIFORNIA
2	100507939	MEDICAID	NEVADA
3	981440	MEDICAID	ARIZONA
4	XPY205010	MEDICAID	CALIFORNIA
5	1093784951	MEDICAID	NEVADA
6	1093784951	MEDICAID	ARIZONA
7	1093784951	MEDICAID	UTAH

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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