Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenmore Lasam, MD

Individual provider Internal Medicine Physician · NPI 1093133027

Dr. Glenmore Lasam, MD is a Cardiovascular Disease (Cardiology) in Manteca, California. Qualified in 2000, 26 years ago. Practices with Stockton Cardiology Medical Group Complete Heart Care Inc, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New Jersey.

Years since qualifying
26
Licensed in
CA, NJ
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1148 Norman Dr Ste 3
Manteca, CA 95336-5961
Phone: (209) 824-1555
Fax: (209) 464-2684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 N Bessie Dr, Tracy, CA 95376 — (209) 832-0343

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A171671 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA10197800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0

Record details

NPI number1093133027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESJuly 19, 2022
Certification dateJuly 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Stockton Cardiology Medical Group Complete Heart Care Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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