GLENN M JABOLA M.D. NPI 1710964333

NPI Information

  • NPI: 1710964333
  • Provider Name: GLENN M JABOLA, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 74020 ALESSANDRO DR STE B
    PALM DESERT, CA
    ZIP 92260
  • Phone: (760) 837-8827

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NPI Details

Glenn M Jabola, M.D. is a family medicine in Palm Desert, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Glenn M Jabola, M.D. NPI is 1710964333. 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:

74020 ALESSANDRO DR STE B
PALM DESERT, CA
ZIP 92260
Phone: (760) 837-8827
Fax: (760) 773-1225

The NPI 1710964333 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11406)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 12/23/2005 and was last updated on 6/13/2018.

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
1207Q00000XFamily MedicineA52068CALIFORNIAYes

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

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