Sharon Palacio

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK395465 Issued in CA

Practice address

2424 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2727

Phone

(323) 302-3027

NPI assigned

Jan 24, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1568052421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 LA TIJERA BLVD UNIT 45383",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900457019",
            "telephone_number": "562-646-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082727",
            "telephone_number": "323-302-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK395465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derricketa Palacio
• Gilbert B. Palacio, LCSW
• Henry Palacio Jr.
• Jessica Elaine Palacio, MSW
• Mariel Palacio
• Therese Palacio, LCSW
• Trennell Odesia Palacio, MA, LPCC, LPC
• Amairani Anahi Palacios
• Bianca Palacios
• Brenda Palacios

• Prosthetics Case Management in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.