Active NPI
Gloria NG, PA
- Physician Assistant
- Artesia, CA
National Provider Identifier
1245512854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 21773
- Practice address
- 18502 Gridley Rd
Artesia, CA 90701-5436 - Phone
- (562) 865-6160
- Fax
- (562) 468-4315
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 21773 | CA | Primary |
Addresses
Primary practice location
18502 Gridley Rd
Artesia, CA 90701-5436
Mailing address
18502 Gridley Rd
Artesia, CA 90701-5406
Phone (562) 865-6160
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022002859 | CA | Order and Referring Only - Physician Assistant | 6002125564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1245512854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18502 GRIDLEY RD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015406",
"telephone_number": "562-865-6160",
"fax_number": "562-468-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18502 GRIDLEY RD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015436",
"telephone_number": "562-865-6160",
"fax_number": "562-468-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "GLORIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "21773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.