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DR. GLENN E FORTINI M.D.
NPI 1205966041
Psychiatry & Neurology - Neurology in Davis, CA

Active since March 07, 2007
1 SHIELDS AVE, DAVIS, CA 95616(530) 752-2300(530) 752-2306 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Glenn E Fortini M.d. NPPES

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

DR. GLENN E FORTINI M.D. (NPI 1205966041) is an individual neurology provider in Davis, California, licensed in California (A19839) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205966041
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. GLENN E FORTINICredential: M.D.
Location Address1 SHIELDS AVEDavis, CA 95616-5270
Mailing Address417 Mace Blvd.,, Suite J, #341Davis, CA 95618 · (530) 756-5539 · Fax (530) 756-2022
Phone(530) 752-2300
Fax(530) 752-2306
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205966041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A19839
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 SHIELDS AVE, Davis, CA 95616
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN IBARRA M.D.
Specialist
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-2300
MIKA BROWN
Counselor (Mental Health)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-2300
NAOMI SAKAI
Psychologist (Counseling)
1 SHIELDS AVE, CAPS, 219 NORTH HALL, UNIVERSITY OF CALIFORNIA, DAVIS
DAVIS, CA 95616
Yolo County (530) 752-5665
RACHAEL MACK RD
Dietitian, Registered (Nutrition, Sports Dietetics)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 304-2104
DR. TATUM K PHAN PH.D.
Psychologist (Counseling)
1 SHIELDS AVE, STUDENT HEALTH & COUNSELING SERVICES - UC DAVIS
DAVIS, CA 95616
Yolo County (530) 752-0871
ERIC SALES MD
Pediatrics (Sports Medicine)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-8356
UC DAVIS STUDENT HEALTH AND COUNSELING SERVICES
Clinic/Center (Student Health)
1 SHIELDS AVE, SHCS
DAVIS, CA 95616
Yolo County (530) 752-2300
DR. OLIVIA ALISON KNIZEK PH.D.
Psychologist (Counseling)
1 SHIELDS AVE
DAVIS, CA 95616
Yolo County (530) 752-0871

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 Fortini's NPI number?

The NPI number for Glenn Fortini is 1205966041. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Glenn Fortini located?

Glenn Fortini practices at 1 Shields Ave, Davis, CA 95616. The listed phone number is (530) 752-2300.

What is Glenn Fortini's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Glenn Fortini was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.