DR. GLENN PROVOST M.D.
NPI 1326003229
Anesthesiology in Fountain Valley, CA

Q: What is Glenn Provost's NPI number?

The NPI number for Glenn Provost is 1326003229. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Glenn Provost's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Provost was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 20, 2006

17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708(714) 979-1211 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Glenn Provost M.d. NPPES

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

DR. GLENN PROVOST M.D. (NPI 1326003229) is an individual anesthesiology provider in Fountain Valley, California, licensed in California (G79498) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1326003229

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. GLENN PROVOSTCredential: M.D.

Location Address17100 EUCLID STFountain Valley, CA 92708-4004

Mailing Address9111 Mahalo DrHuntington Beach, CA 92646-7863 · (714) 401-9117

Phone(714) 979-1211

Sole ProprietorYes

Enumeration DateApril 20, 2006

Last NPPES UpdateApril 11, 2016

✔ NPI 1326003229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · G79498

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

17100 EUCLID ST, Fountain Valley, CA 92708

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Other Identifiers 3

Medicare UPING35793CA

Medicare PING79498CA

Medicaid00G794980CA

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.

HAI PHAM PHARM D

Pharmacist