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

Zach Glascox

Individual provider Physician Assistant · NPI 1891203105

Zach Glascox is a Physician Assistant in Lakeside, California. Qualified in 2023, 3 years ago. Practices with Neighborhood Healthcare, a 152-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018

Practice location Address checks out

10039 Vine St
Lakeside, CA 92040-3120
Phone: (740) 513-1087
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64241 (CA)

Record details

NPI number1891203105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2018
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address3770 Leap Rd, Hilliard, OH 43026-1110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Neighborhood Healthcare — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakeside