Fred James Galluccio M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRED JAMES GALLUCCIO M.D.

Practice address

901 Dover Dr Ste 102
Newport Beach, CA 92660-5514

Phone

(949) 646-4865

Fax

(949) 646-7716

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Monika M Galluccio

Title

Secretary

Phone

(949) 646-4865

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul M. Eisman, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1285639773
  NPD
• Fred J Galluccio, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1104934397
  NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1073702643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605514",
            "telephone_number": "949-646-4865",
            "fax_number": "949-646-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605514",
            "telephone_number": "949-646-4865",
            "fax_number": "949-646-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED JAMES GALLUCCIO M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "GALLUCCIO",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-646-4865"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W16599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Frankel, MD
• Michelle Beth Frankley, LCSW
• Kari A Franks, M.P.T.
• Molly Melissa Frantzen, R.D.
• Fred Galluccio MD & Assoc Inc
• Julia Frederick, PA-C
• Ashley Freeborg
• Lawrence David Freedman, M.D.
• Brandon Frey, DPT
• Linsey Frey, IFNCP

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.