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

Edwin Chapman Glass, MD

Individual provider Nuclear Medicine Physician · NPI 1629012612

Edwin Chapman Glass, MD is a Nuclear Medicine in Santa Monica, California. Graduated from Baylor College of Medicine in 1972, 54 years ago. Practices with Medical Imaging Center of Southern California, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
54
Trained at
Baylor College of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
4
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

2811 Wilshire Blvd Ste 810
Santa Monica, CA 90403-4803
Phone: (310) 829-9788
Fax: (310) 268-4916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence C35240 (CA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence C35240 (CA)
Nuclear Imaging & Therapy Physician Taxonomy 207UN0902X · Licence C35240 (CA)
In Vivo & In Vitro Nuclear Medicine Physician Taxonomy 207UN0903X · Licence C35240 (CA)

Record details

NPI number1629012612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJuly 13, 2007

Medicare enrollment

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

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice Medical Imaging Center Of Southern California — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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