DR. GLENN TISMAN M.D.
NPI 1659373983
Specialist in Whittier, CA

Q: What is Glenn Tisman's NPI number?

The NPI number for Glenn Tisman is 1659373983. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Glenn Tisman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Tisman was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 31, 2005

13025 BAILEY ST, STE A, WHITTIER, CA 90601(562) 789-8822(562) 698-4582 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Glenn Tisman M.d. NPPES

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

DR. GLENN TISMAN M.D. (NPI 1659373983) is an individual specialist in Whittier, California, licensed in California (G19173A) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1659373983

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GLENN TISMANCredential: M.D.

Location Address13025 BAILEY ST, STE AWhittier, CA 90601-4212

Mailing Address13025 Bailey St, Ste AWhittier, CA 90601-4212 · (562) 789-8822 · Fax (562) 698-4582

Phone(562) 789-8822

Fax(562) 698-4582

Sole ProprietorNo

Enumeration DateMay 31, 2005

Last NPPES UpdateMarch 5, 2008

✔ NPI 1659373983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G19173A

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

13025 BAILEY ST, Whittier, CA 90601

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Other Identifiers 2

Medicare UPINA40555CA

Medicare PINWG19173BCA

Other Providers at the Same Location NPPES

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

GLENN TISMAN M D A MEDICAL

Clinic/Center (Oncology)

13025 BAILEY ST
WHITTIER, CA 90601

Los Angeles County (562) 789-8822

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 Tisman's NPI number?

The NPI number for Glenn Tisman is 1659373983. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Glenn Tisman located?

Glenn Tisman practices at 13025 Bailey St Ste A, Whittier, CA 90601. The listed phone number is (562) 789-8822.

What is Glenn Tisman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Glenn Tisman was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.