DERRICK GLASGOW NPI 1477269009

NPI Information

  • NPI: 1477269009
  • Provider Name: DERRICK GLASGOW
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 3311 KIFER RD
    SANTA CLARA, CA
    ZIP 95051
  • Phone: (510) 453-0812

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NPI Details

Derrick Glasgow is a rehabilitation practitioner in Santa Clara, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Derrick Glasgow NPI is 1477269009. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3311 KIFER RD
SANTA CLARA, CA
ZIP 95051-708
Phone: (510) 453-0812

The enumeration date for this NPI number is 1/26/2023 and was last updated on 6/25/2025.

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
1175T00000XPeer SpecialistNo
2225400000XRehabilitation PractitionerYes
3171M00000XCase Manager/Care CoordinatorNo

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: 11/21/2025

NPI Synchronization or Removal

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