Individual provider Active NPI

Gloria Camacho, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hemet, CA
National Provider Identifier
1396205274
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
6207 Issued in CA
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
T-692047TXMDPodiatrist

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.

Verify at the official NPI Registry.