Active NPI
Cory Robert Gall, DO
- Student in an Organized Health Care Education/Training Program
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 147 N Brent St
Ventura, CA 93003-2809 - Phone
- (805) 948-5672
- NPI assigned
- Mar 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2809
Mailing address
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 948-5672
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3525 Loma Vista Rd
Suite a
Ventura, CA 93003-3165
Phone (805) 641-6415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Orthopedics Medical Group, Inc. | Current | Accepting new patients | |
| Ventura Orthopedics Medical Group, Inc. | Current | Accepting new patients | |
| Ventura Orthopedics Medical Group, Inc. | Current | Accepting new patients |
Locations
2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366
5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168
3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415
3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415
3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955
Interoperability endpoints
- cgall499765@direct.cshs.org
- https://fhir4.healow.com/fhir/r4/D1ADAA/Endpoint/D1ADAA
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.
-
- Specialist
- Ventura, CA
- NPI 1871547315
-
- Specialist
- Simi Valley, CA
- NPI 1164195707
-
- Specialist
- Oxnard, CA
- NPI 1790248508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1013594787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-948-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-948-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "CORY",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.