Individual provider Active NPI

Gloria Hierro, MD

  • Pediatrics Physician
  • Mission Hills, CA
National Provider Identifier
1154340545
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G75998 Issued in CA
Practice address
11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Phone
(818) 837-2753
Fax
(818) 898-9282
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G75998 CA Primary

Addresses

Primary practice location

11165 Sepulveda Blvd
Mission Hills, CA 91345-1113

Mailing address

11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Phone (818) 837-2753

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
I20081030000586 CA Practitioner - Pediatric Medicine 4688733058 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Sep 10, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Sep 10, 2016 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients

Locations

7107 Remmet Ave
Canoga Park, CA 91303
Phone (818) 340-3570

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

7223 Fair Ave
Sun Valley, CA 91352
Phone (818) 432-4400

23763 Valencia Blvd
Valencia, CA 91355
Phone (661) 287-1551

7138 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 778-6240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gloria.hierro.p1@direct.nevhc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1154340545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11165 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451113",
            "telephone_number": "818-837-2753",
            "fax_number": "818-898-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11165 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451113",
            "telephone_number": "818-837-2753",
            "fax_number": "818-898-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERRO",
        "first_name": "GLORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G75998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.