Gloria Christina Sudeta, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95003639 Issued in CA

Practice address

2740 Herndon Ave
Clovis, CA 93611-6813

Phone

(559) 299-2608

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

High Desert Psychological ServicesGroup PAC ID 2860819125, 82 clinicians

Central Valley Indian Health IncGroup PAC ID 9931092533, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gloria.sudetarnp.p1@direct.plannedparenthoodla.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Starlight Hospice Inc

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1659780716

  Corporate Director

  CMS ownership

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

• Central Valley Indian Health Inc

  • Clinic/Center
  • Prather, CA
  • NPI 1902025059

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• High Desert Psychological Services

  • Psychologist
  • Victorville, CA
  • NPI 1104463371

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089

  Multi-Specialty

  Medicare reassignment NPD
• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350

  Multi-Specialty

  Medicare reassignment NPD
• East Valley Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1346287430

  Multi-Specialty

  Medicare reassignment NPD
• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  Multi-Specialty

  Medicare reassignment NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761

  Multi-Specialty

  Medicare reassignment NPD
• MD Karan Singh Professional Corp

  • Emergency Medicine Physician
  • Banning, CA
  • NPI 1932964962

  Multi-Specialty

  Medicare reassignment NPD
• Seven Star Hospital Associates Inc.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140

  Multi-Specialty

  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834

  Multi-Specialty

  Medicare reassignment NPD
• Zenmedicine

  • General Practice Physician
  • West Covina, CA
  • NPI 1821567488

  Multi-Specialty

  Medicare reassignment NPD
• Nagasamudra S Ashok MD Inc

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386
  Medicare reassignment

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1083070064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE",
            "address_2": "BLDG F, SUITE 128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-949-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116813",
            "telephone_number": "559-299-2608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Mountain Ave",
            "address_2": "Suite 128 Bldg F",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917621128",
            "country_code": "US",
            "telephone_number": "909-949-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDETA",
        "first_name": "GLORIA",
        "middle_name": "CHRISTINA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003639",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Strobl, CRNA
• Scott T Strong
• Ashley Styer, MT
• Robert F Subers, MD
• Andrea Sucilla
• Carolina Sueldo, M.D.
• Dawnlynn P. Suglian, P.T.
• Summit Physical Therapy
• Brad Sumrell, M.D.
• Sung Shyn, DDS, Inc

• Psychiatric/Mental Health Nurse Practitioner in Clovis, CA
• Providers in Clovis, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.