Dr. David Michael Glenn, MD
Anesthesiology in San Mateo, CA. Individual provider (NPI-1).
NPI number1194875229
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1194875229
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Michael Glenn
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2007
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G83704 | CA | Yes |
Practice location
316 S Eldorado St Ste 110San Mateo, CA 94401-3330
Phone 650-477-2993 · Fax 650-340-9514
Mailing address
195 Hillside AveMenlo Park, CA 94025-6537
Phone 650-787-4765
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Anesthesiology Physician providers in San Mateo · All 4,655 providers in San Mateo
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