MR. WENDELL GLORIA
NPI 1154590776
Student in an Organized Health Care Education/Training Program in Cerritos, CA
About Mr. Wendell Gloria NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WENDELL GLORIA (NPI 1154590776) is an individual student in an organized health care education/training program in Cerritos, California and active in the NPI registry since February 2008. He is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Wendell Gloria 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.
Medicare Billing Reassignment
Medicare enrollment records show Wendell Gloria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
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 Wendell Gloria's NPI number?
The NPI number for Wendell Gloria is 1154590776. It was assigned to this individual provider in the NPPES registry on February 27, 2008.
Where is Wendell Gloria located?
Wendell Gloria practices at 12212 Viarna St, Cerritos, CA 90703. The listed phone number is (562) 644-7603.
What is Wendell Gloria's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Wendell Gloria enrolled in Medicare?
Yes. Wendell Gloria 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.
Which organization bills Medicare for Wendell Gloria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wendell Gloria reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Wendell Gloria'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 Wendell Gloria was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Wendell Gloria · NPI 1154590776
Student in an Organized Health Care Education/Training Program provider in Cerritos, California. Individual provider, active in the CMS NPPES registry since February 27, 2008.
## Identity
- **NPI:** 1154590776 (Entity type: Individual)
- **Enumerated:** February 27, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 12212 VIARNA ST, Cerritos, CA 90703-7728
- **Phone:** (562) 644-7603
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154590776) · Data from the CMS NPPES public registry.