Active NPI
Gloria Camacho, DPM
- Foot & Ankle Surgery Podiatrist
- Hemet, CA
National Provider Identifier
1396205274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 6207
- Practice address
- 255 N Gilbert St
Hemet, CA 92543-4066 - Phone
- (951) 652-4386
- Fax
- (951) 925-4947
- NPI assigned
- Mar 25, 2019
- Reactivated
- Jan 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | T-692047 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 6207 | CA | Primary |
Addresses
Primary practice location
255 N Gilbert St
Hemet, CA 92543-4066
Mailing address
PO Box 843270
Los Angeles, CA 90084-3270
Other practice location 1
12121 Richmond Ave Ste 417
Houston, TX 77082-2439
Phone (281) 597-1630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-692047 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1396205274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843270",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900843270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N GILBERT ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434066",
"telephone_number": "951-652-4386",
"fax_number": "951-925-4947"
}
],
"practiceLocations": [
{
"address_1": "12121 Richmond Ave Ste 417",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770822439",
"country_code": "US",
"telephone_number": "281-597-1630",
"fax_number": "281-597-9760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "GLORIA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"deactivation_date": "2020-03-22",
"reactivation_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "T-692047",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "6207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.