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GLENN NORCIO FERNANDEZ MD
NPI 1124384763
Emergency Medicine in Los Angeles, CA

Active since April 09, 2012PECOS Enrolled
4636 TOLAND WAY, LOS ANGELES, CA 90041(661) 312-6872 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Glenn Norcio Fernandez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN NORCIO FERNANDEZ MD (NPI 1124384763) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A135440) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1124384763
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGLENN NORCIO FERNANDEZCredential: MD
Location Address4636 TOLAND WAYLos Angeles, CA 90041-3434
Mailing Address3371 Glendale Blvd # 452Los Angeles, CA 90039-1846 · (661) 312-6872
Phone(661) 312-6872
Sole ProprietorYes
Enumeration DateApril 9, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1124384763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A135440
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4636 TOLAND WAY, Los Angeles, CA 90041
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Secondary Practice Location 1

Location 11501 Kings Hwy, Dept. of EMSShreveport, LA 71103-4228 · Phone (318) 675-6632

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Norcio Fernandez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Fernandez's NPI number?

The NPI number for Glenn Fernandez is 1124384763. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Glenn Fernandez located?

Glenn Fernandez practices at 4636 Toland Way, Los Angeles, CA 90041. The listed phone number is (661) 312-6872.

What is Glenn Fernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Glenn Fernandez enrolled in Medicare?

Yes. Glenn Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Fernandez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.