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Active NPI 1770936635 Individual Practitioner Male Practitioner

Glenn Petillo

Nurse's Aide • Anza, CA

Professional Overview & Biography Verified Profile Summary

Glenn Petillo is a registered healthcare professional specializing in Nurse's Aide in Anza, CA. Practice services are available at 37802 FISCHER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

37802 Fischer Rd

Anza, CA 925399203

Telephone 9515513204

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse's Aide in Anza, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Anza, CA (753 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse's Aide Primary Specialty

NUCC Taxonomy Code: 376K00000X

State License CA 00903914

(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.

Home Health Aide

NUCC Taxonomy Code: 374U00000X

State License CA 00270053

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID California Department Of Public Health Home Health Aide
00270053 (CA)
Commercial Insurance / Payer ID California Department Of Public Health Certified Nursing Assistant
00903914 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 37802 FISCHER RD, ANZA, CA 925399203 (Tel: 9515513204)

📍
Updated Business Mailing Address July 15, 2016

Registered at 37802 FISCHER RD, ANZA, CA 925399203

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as GLENN PETILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Home Health Aide (License #00270053 in CA)

🟢
Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770936635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: July 15, 2016
Sole Proprietor: No

Mailing Address

37802 Fischer Rd

Anza, CA 925399203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.