Individual provider Active NPI

Rita Glor, D.O.

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1033175211
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6708 Issued in CA
Practice address
11903 Downey Ave
Downey, CA 90242-2529
Phone
(562) 869-1121
Fax
(562) 869-1921
NPI assigned
Apr 25, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6708 CA Primary

Addresses

Primary practice location

11903 Downey Ave
Downey, CA 90242-2529

Mailing address

11903 Downey Ave
Downey, CA 90242-2529
Phone (562) 869-1121

Other identifiers 1

IdentifierTypeStateIssuer
00AX67080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000900 CA Practitioner - Family Practice 1759320591 Practice locations: Downey, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11903 Downey Ave
Downey, CA 90242-2529
Phone (562) 869-1121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6708CAMDAddiction (Substance Use Disorder) Counselor
20A6708CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1033175211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422529",
            "telephone_number": "562-869-1121",
            "fax_number": "562-869-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422529",
            "telephone_number": "562-869-1121",
            "fax_number": "562-869-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOR",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.