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GLENN ERIC MATHISEN MD
NPI 1376564948
Internal Medicine - Infectious Disease in Los Angeles, CA

Active since July 21, 2006PECOS Enrolled
200 MEDICAL PLAZA, #365,420,520,120, LOS ANGELES, CA 90095(818) 364-3205 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn Eric Mathisen Md NPPES

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

GLENN ERIC MATHISEN MD (NPI 1376564948) is an individual infectious disease provider in Los Angeles, California, licensed in California (G44551) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376564948
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameGLENN ERIC MATHISENCredential: MD
Location Address200 MEDICAL PLAZA, #365,420,520,120Los Angeles, CA 90095
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (818) 364-3205
Phone(818) 364-3205
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 13, 2010
✔ NPI 1376564948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · G44551
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
200 MEDICAL PLAZA, Los Angeles, CA 90095
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Other Identifiers 4

Medicaid00G445510CA
Medicare PINWG44551ACA
Medicare PINWG44551BCA
Medicare UPINA92501CA

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 Eric Mathisen 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 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

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.

ANJAY RASTOGI MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Los Angeles County (310) 794-9718
ROBERTO BALBINO VARGAS MD
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MATTHEW ELLIS CONOLLY MD
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9583
TIMOTHY A MILLER MD
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
RAM RAJ SINGH MD
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301
MAIE ABDUL-RAHMAN ST JOHN MD
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
HAMID REZA HAJMOMENIAN MD
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 319-4371
ANDRE ELIAS NEL MD
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6301

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 Mathisen's NPI number?

The NPI number for Glenn Mathisen is 1376564948. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Glenn Mathisen located?

Glenn Mathisen practices at 200 Medical Plaza #365,420,520,120, Los Angeles, CA 90095. The listed phone number is (818) 364-3205.

What is Glenn Mathisen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Glenn Mathisen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Glenn Mathisen was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.