Individual provider Active NPI

Karen Marie Glover, MD

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1649280652
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70211 Issued in CA
Practice address
833 Auto Center Dr
Ste a
Palmdale, CA 93551-4488
Phone
(661) 349-8268
Fax
(661) 362-1183
NPI assigned
Aug 9, 2006
Reactivated
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70211 CA Primary

Addresses

Primary practice location

833 Auto Center Dr
Ste a
Palmdale, CA 93551-4488

Mailing address

38713 Tierra Subida Ave
200-112
Palmdale, CA 93551-4562
Phone (661) 349-8268

Other identifiers 1

IdentifierTypeStateIssuer
00A702110MedicaidCA

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
I20040406001870 CA Practitioner - Family Practice 1759374507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70211CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A70211CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Care Wellness CurrentSince Jul 1, 2025 Accepting new patients
Herbert S Radley MD & Harold M Cohen MD Medical Corporation CurrentSince Apr 14, 2017 Accepting new patients
Motion Picture and Television Fund Medical Group, Inc Past Accepting new patients

Locations

14124 Foothill Blvd
Ste 100
Sylmar, CA 91342
Phone (818) 367-1012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1649280652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38713 TIERRA SUBIDA AVE",
            "address_2": "200-112",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514562",
            "telephone_number": "661-349-8268",
            "fax_number": "661-362-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 AUTO CENTER DR",
            "address_2": "STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514488",
            "telephone_number": "661-349-8268",
            "fax_number": "661-362-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-07-31",
        "deactivation_date": "2006-08-22",
        "reactivation_date": "2006-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A702110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.