Individual provider Active NPI

Gladys Encarnacion Palomeno, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Palos Verdes, CA
National Provider Identifier
1164522116
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A67651 Issued in CA
Practice address
28633 S Western Ave Ste 202
Rancho Palos Verdes, CA 90275-0817
Phone
(424) 264-5286
Fax
(424) 264-5409
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A67651 CA Primary

Addresses

Primary practice location

28633 S Western Ave Ste 202
Rancho Palos Verdes, CA 90275-0817

Mailing address

28633 S Western Ave Ste 202
Rancho Palos Verdes, CA 90275-0817
Phone (424) 264-5286

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
I20031212000757 CA Practitioner - Endocrinology 5294632832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thrive Health IV Clinic PCGroup PAC ID 0941668057, 9 clinicians

Practice addresses (Care Compare)

28633 S Western Ave
Suite 202
Rancho Palos Verdes, CA 90275-0817
Phone (424) 264-5286

9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192
Phone (310) 363-8757

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health IV Clinic PC CurrentSince Aug 4, 2025 Accepting new patients
Thrive Health IV Clinic PC CurrentSince Aug 4, 2025 Accepting new patients
Thrive Health IV Clinic, P.C. Current Accepting new patients
Gladys E. Palomeno, MD, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2005 Accepting new patients

Locations

9675 Brighton Way
Ste 410
Beverly Hills, CA 90210
Phone (310) 274-2525

28633 S Western Ave
Ste 202
Rancho Palos Verdes, CA 90275
Phone (310) 241-0947

23451 Madison St
Ste 210
Torrance, CA 90505
Phone (310) 325-2392

23451 Madison St
Ste 240
Torrance, CA 90505
Phone (310) 791-2890

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1164522116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 202",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817",
            "telephone_number": "424-264-5286",
            "fax_number": "424-264-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28633 S WESTERN AVE STE 202",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750817",
            "telephone_number": "424-264-5286",
            "fax_number": "424-264-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMENO",
        "first_name": "GLADYS",
        "middle_name": "ENCARNACION",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A67651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.