Healthcare Provider Details

I. General information

NPI: 1669579926
Provider Name (Legal Business Name): ANN LINDSAY MD AND ALAN GLASEROFF MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 H ST
ARCATA CA
95521
US

IV. Provider business mailing address

1318 H ST
ARCATA CA
95521
US

V. Phone/Fax

Practice location:
  • Phone: 707-822-7041
  • Fax: 707-822-0655
Mailing address:
  • Phone: 707-822-7041
  • Fax: 707-822-0655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number320495
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG40866
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG40774
License Number StateCA

VIII. Authorized Official

Name: DR. ANN D LINDSAY
Title or Position: CO OWNER
Credential: MD
Phone: 707-822-7011