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Deactivated NPI 1346230042 Deactivated / Inactive NPI Male Practitioner

Dr. John Rupert Privett , MD

Specialist • Glendale, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Privett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2005
NPI Deactivation Date May 28, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Privett, MD was a registered Specialist practicing in Glendale, CA. Throughout an active medical career spanning 14 years, Dr. Privett provided care at the practice location at 1808 VERDUGO BLVD until profile deactivation on 2019-05-28.

Practice Location & Contact Primary Location

Practice Address

1808 Verdugo Blvd
Suite #102

Glendale, CA 912081477

Telephone 8189521136
Fax 8189521139
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Glendale, CA (6446 Statewide)

Telehealth Adoption Rate
2.5% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G10629

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Ellie Bloomfield , MD

Internal Medicine

NPI 1013977206

Doctor of Medicine (M.D.)

NPI 1023016375

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1104893775

Doctor of Medicine (M.D.)

Dr. Stephanie Rade , DO

Internal Medicine

NPI 1104957125

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Cann , MD

Orthopaedic Surgery

NPI 1124131321

Doctor of Medicine (M.D.)

NPI 1184809949

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 28, 2019

Record deactivated on May 28, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1808 VERDUGO BLVD, SUITE #102, GLENDALE, CA 912081477 (Tel: 8189521136)

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Updated Business Mailing Address July 08, 2007

Registered at 1808 VERDUGO BLVD, SUITE #102, GLENDALE, CA 912081477 (Tel: 8189521136)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PRIVETT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #G10629 in CA)

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Initial NPI Registration & Enumeration October 24, 2005

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: 1346230042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2005
Last Update: July 08, 2007
Deactivation Date: May 28, 2019

Mailing Address

1808 Verdugo Blvd, Suite #102

Glendale, CA 912081477

Phone: 8189521136

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.