DR. GLADYS MINET SEPULVEDA D.C.
NPI 1053444810
Chiropractor in San Carlos, CA

Active since March 13, 2007
767 INDUSTRIAL RD, SAN CARLOS, CA 94070(415) 547-0566 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gladys Minet Sepulveda D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLADYS MINET SEPULVEDA D.C. (NPI 1053444810) is an individual chiropractor in San Carlos, California, licensed in California (29868) and active in the NPI registry since March 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1053444810
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLADYS MINET SEPULVEDACredential: D.C.
Location Address767 INDUSTRIAL RDSan Carlos, CA 94070-3310
Mailing Address1006 Hill St., Apt. # 1010Belmont, CA 94402-5263 · (510) 978-3743
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 13, 2007
Last NPPES UpdateApril 25, 2014
✔ NPI 1053444810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 29868
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
767 INDUSTRIAL RD, San Carlos, CA 94070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gladys Minet Sepulveda D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789730193
PECOS Enrollment IDI20090925000182

Medicare Billing Reassignment

Medicare enrollment records show Gladys Sepulveda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Physician
2100 CARLMONT DR STE 3
Belmont, CA 94002
  • Reassigned Medicare billing, California enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gladys Sepulveda's NPI number?

The NPI number for Gladys Sepulveda is 1053444810. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Gladys Sepulveda located?

Gladys Sepulveda practices at 767 Industrial Rd, San Carlos, CA 94070. The listed phone number is (415) 547-0566.

What is Gladys Sepulveda's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gladys Sepulveda enrolled in Medicare?

Yes. Gladys Sepulveda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gladys Sepulveda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gladys Sepulveda reassigns Medicare benefits to Infinite Body Health Inc (Belmont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gladys Sepulveda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gladys Sepulveda was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.