Individual provider Active NPI

Gerardo Mora Galano, RN, BSN, PHN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Chula Vista, CA
National Provider Identifier
1013352038
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
PHN 69298 Issued in CA
Practice address
1539 Sherman Dr
Chula Vista, CA 91911-6928
Phone
(760) 586-5369
Fax
(619) 271-1820
NPI assigned
May 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X PHN 69298 CA
Case Management Registered Nurse 163WC0400X PHN 69298 CA
Community Health Registered Nurse 163WC1500X PHN 69298 CA
Continuing Education/Staff Development Registered Nurse 163WC1600X PHN 69298 CA
Home Health Registered Nurse 163WH0200X PHN 69298 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X PHN 69298 CA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X PHN 69298 CA Primary

Addresses

Primary practice location

1539 Sherman Dr
Chula Vista, CA 91911-6928

Mailing address

1539 Sherman Dr
Chula Vista, CA 91911-6928
Phone (760) 586-5369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
PHN 69298CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1013352038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 SHERMAN DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116928",
            "telephone_number": "760-586-5369",
            "fax_number": "619-271-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 SHERMAN DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116928",
            "telephone_number": "760-586-5369",
            "fax_number": "619-271-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANO",
        "first_name": "GERARDO",
        "middle_name": "MORA",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "PHN 69298",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "PHN 69298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.