Active NPI
Gary M Alegre, MD
- Orthopaedic Surgery Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A65392
- Practice address
- 2545 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 948-1641
- NPI assigned
- May 24, 2006
- Last updated
- Feb 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A65392 | CA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A65392 | CA |
Addresses
Primary practice location
2545 W Hammer LN
Stockton, CA 95209-2839
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195690700 | Other | USDL | |
| P00051180 | Other | RR MEDICARE | |
| 0368640001 | Other | DMERC | |
| C6P159090 | Other | CGP | |
| ZZZ71793Z | Medicaid | CA |
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
- Tufts University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2800 L St
Sacramento, CA 95816-5616
441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211
447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
815 Court St
Jackson, CA 95642-2154
918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 366-2001
924 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 334-2590
Hospital & facility affiliations
- Sutter Care at Home
- St Joseph's Medical Center Home Health
- Dameron Hospital
- St Joseph's Medical Center of Stockton
- Sutter Tracy Community Hospital
- Adventist Health Lodi Memorial
- Sutter Amador Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 323 |
| Laminectomy or laminotomy (partial removal of spine bones) | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65392 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Orthopaedic Surgery | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
3850 G St
Merced, CA 95340
Phone (209) 384-6528
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
2488 N California St
Stockton, CA 95204
Phone (209) 948-3333
2545 W Hammer Ln
Stockton, CA 95209
Phone (209) 948-1641
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Stockton, CA
- NPI 1114005352
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Surgical Oncology Physician
- Sacramento, CA
- NPI 1801889068
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
dba Sutter North Medical Foundation
- Multi-Specialty Clinic/Center
- Yuba City, CA
- NPI 1992939565
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Dale Road Care Center
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
dba Lodi Memorial Hospital
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
-
- Home Health Agency
- Stockton, CA
- NPI 1306978945
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba Sutter Amador Hospital
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
dba Sutter Tracy Community Hospital
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
-
dba Sutter Care at Home
- Home Health Agency
- Salida, CA
- NPI 1972876506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1063467116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092839",
"telephone_number": "209-948-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRE",
"first_name": "GARY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A65392",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A65392",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDL",
"identifier": "195690700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00051180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0368640001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGP",
"identifier": "C6P159090",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ71793Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- Pedro Aldape Esquivel, DPM
- Aldo Home Care & Medical Supply
- Aldo Home Care & Medical Supply
- Abdalhmead Aldroubi
- Daniyal Aleem, MD
- Stephanie Alejo
- Tamila Alekseyenko
- Aleracare Medical Group of California, a Medical Corporation (AleraCare Medical Group of California)
- Alexis Nicole Alexander
- Ericka Alexander
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.