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GLENN PETILLO
NPI 1770936635
Nurse's Aide in Anza, CA

Active since July 15, 2016
37802 FISCHER RD, ANZA, CA 92539(951) 551-3204 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Petillo NPPES

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

GLENN PETILLO (NPI 1770936635) is an individual nurse's aide in Anza, California, licensed in California (00903914) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1770936635
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameGLENN PETILLO
Location Address37802 FISCHER RDAnza, CA 92539-9203
Mailing Address37802 Fischer RdAnza, CA 92539-9203
Phone(951) 551-3204
Sole ProprietorNo
Enumeration DateJuly 15, 2016
✔ NPI 1770936635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in CA · 00903914
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Also ListedHome Health AideTaxonomy 374U00000X · License 00270053 (CA)
37802 FISCHER RD, Anza, CA 92539
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Other Identifiers 2

Other00270053CA · California Department Of Public Health Home Health Aide
Other00903914CA · California Department Of Public Health Certified Nursing Assistant

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 Petillo's NPI number?

The NPI number for Glenn Petillo is 1770936635. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Glenn Petillo located?

Glenn Petillo practices at 37802 Fischer Rd, Anza, CA 92539. The listed phone number is (951) 551-3204.

What is Glenn Petillo's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Glenn Petillo was last updated on July 15, 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.