DR. GLENN MICHAEL WEINRAUB DPM NPI 1093786998

NPI Information

  • NPI: 1093786998
  • Provider Name: DR. GLENN MICHAEL WEINRAUB, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 MERCED ST
    SAN LEANDRO, CA
    ZIP 94577
  • Phone: (510) 454-1000

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NPI Details

DR. Glenn Michael Weinraub, DPM is a foot and ankle surgery podiatrist in San Leandro, CA with 31 years of experience. DR. Glenn Michael Weinraub, DPM NPI is 1093786998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1994

The provider's business location address is:

2500 MERCED ST
SAN LEANDRO, CA
ZIP 94577-201
Phone: (510) 454-1000
Fax: (540) 772-3785

The NPI 1093786998 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).

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/4/2022.

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
1213EP1101XPodiatristPrimary Podiatric MedicineE4043CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE4043CALIFORNIAYes

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
1009304860MEDICAIDVIRGINIA

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: 3/30/2025

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