DR. ROBERT GLENN PUGACH MD NPI 1780687319

NPI Information

  • NPI: 1780687319
  • Provider Name: DR. ROBERT GLENN PUGACH, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 KATELLA AVE
    STE 110
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 594-0860

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NPI Details

DR. Robert Glenn Pugach, MD is a specialist in Los Alamitos, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Robert Glenn Pugach, MD NPI is 1780687319. 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:

3801 KATELLA AVE
STE 110
LOS ALAMITOS, CA
ZIP 90720-371
Phone: (562) 594-0860
Fax: (562) 594-9010

The NPI 1780687319 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.

  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of lower leg neurostimulator electrode (HCPCS:64566)
  • Insertion of implant in urethra within prostate gland using an endoscope, each additional implant (HCPCS:52442)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of prostate gland (HCPCS:55700)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Insertion of implant in urethra within prostate gland using an endoscope, 1 implant (HCPCS:52441)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming (HCPCS:95972)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • High-intensity ultrasound destruction of cancerous tissue in prostate gland, accessed through rectum using ultrasound guidance (HCPCS:55880)

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/8/2007.

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
1174400000XSpecialistA41822CALIFORNIAYes

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
1B50478MEDICARE UPINCALIFORNIA
200A418220MEDICAIDCALIFORNIA
3WA41822AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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