Dr. Glenn H Desandre
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Glenn H Desandre, M.D. is a San Jose, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Glenn H Desandre is
751 S Bascom Ave, San Jose, California - 95128-2604. He can be contacted on phone at
408-885-5420.
Dr. Glenn H Desandre is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Glenn H Desandre is
1699717041 which was assigned by NPPES on 11 Jun, 2006 and it was last updated on 15 Dec, 2021.
Dr. Glenn H Desandre license number is
A69290 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Dr. Glenn H Desandre is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Glenn H Desandre basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Glenn H Desandre |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Glenn H Desandre address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 751 S Bascom Ave
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-5420 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699717041 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jun, 2006 |
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| Last Updated On : | 15 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glenn H Desandre are as mentioned. Primary taxonomy code for Dr. Glenn H Desandre, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | A69290 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 275 W MACARTHUR BLVD,
OAKLAND, CA, 94611-5641
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 751 S Bascom Ave
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-5420 |
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Business Location:
Patients can refer following map for directions to
Dr. Glenn H Desandre practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.