NPI

Glockston LLC

Doing business as Auburn Ravine Terrace. NPI 1568183788

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2022-09-06
Last updated
2022-09-06

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
750 Auburn Ravine Rd
City
Auburn CA
Postal code
95603-3820
Phone
(530) 823-6131

Organization contact

Name
Dan Bushnell
Title
Director of Operations
Phone
(949) 508-8370

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Auburn, CA. 1,723 records in the public file.

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