GLORIA CHRISTINA SUDETA NP-C
NPI 1083070064
Nurse Practitioner - Psychiatric/Mental Health in Clovis, CA

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment
2740 HERNDON AVE, CLOVIS, CA 93611(559) 299-2608 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Dec 29, 2020, May 10, 2017 and 2 more (5 updates tracked since 2016).

About Gloria Christina Sudeta Np-c NPPES

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

GLORIA CHRISTINA SUDETA NP-C (NPI 1083070064) is an individual psychiatric/mental health provider in Clovis, California, licensed in California (95003639) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ontario, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083070064
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGLORIA CHRISTINA SUDETACredential: NP-C
Location Address2740 HERNDON AVEClovis, CA 93611-6813
Mailing Address1520 N Mountain Ave, Bldg F, Suite 128Ontario, CA 91762-1128 · (909) 949-9299
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 6, 2016
Last NPPES UpdateOctober 17, 20235 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1083070064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95003639
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95003639 (CA)
2740 HERNDON AVE, Clovis, CA 93611

Secondary Practice Location 1

Location 11520 N Mountain Ave, Suite 128 Bldg FOntario, CA 91762-1128 · Phone (909) 949-9299

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gloria Christina Sudeta Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810285210
PECOS Enrollment IDI20161130001840
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611

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 Gloria Sudeta's NPI number?

The NPI number for Gloria Sudeta is 1083070064. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Gloria Sudeta located?

Gloria Sudeta practices at 2740 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 299-2608.

What is Gloria Sudeta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gloria Sudeta enrolled in Medicare?

Yes. Gloria Sudeta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gloria Sudeta accept?

Health plans from Providence Health Plan list Gloria Sudeta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gloria Sudeta was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.