Individual provider Active NPI

Gloria Lynn Franklin, NP MSN

  • Family Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1043301542
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16124 Issued in CA
Practice address
101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone
(909) 717-9589
NPI assigned
Sep 27, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16124 CA Primary

Addresses

Primary practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809

Mailing address

100 E Valencia Mesa Dr Ste 311
Fullerton, CA 92835-3800
Phone (714) 446-5590

Other practice location 1

100 E Valencia Mesa Dr Ste 311
Fullerton, CA 92835-3800
Phone (714) 446-5590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gfranklin1416055@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000481 CA Practitioner - Nurse Practitioner 0143377432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 633-9111

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16124CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pulmonary Medical Group Inc CurrentSince Feb 18, 2012 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2021 Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients

Locations

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 311
Fullerton, CA 92835
Phone (714) 446-5180

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1440 N Harbor Blvd
Ste 114
Fullerton, CA 92835
Phone (714) 446-7454

1950 Sunny Crest Dr
Ste 2600
Fullerton, CA 92835
Phone (714) 446-5260

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

220 Laguna Rd
Ste 2
Fullerton, CA 92835
Phone (714) 255-8343

220 Laguna Rd
Ste 6
Fullerton, CA 92835
Phone (714) 446-6670

301 W Bastanchury Rd
Ste 220
Fullerton, CA 92835
Phone (714) 446-7454

Interoperability endpoints

  • Direct secure messaging: gfranklin1416055@oc.providencedirect.org

Organizations & group practices 5

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 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1043301542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR STE 311",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353800",
            "telephone_number": "714-446-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353809",
            "telephone_number": "909-717-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Valencia Mesa Dr Ste 311",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353800",
            "country_code": "US",
            "telephone_number": "714-446-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "GLORIA",
        "middle_name": "LYNN",
        "credential": "NP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfranklin1416055@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 E Valencia Mesa Dr",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.