Active NPI
Galen Inpatient Physician Inc.
- Internal Medicine Physician
- Antioch, CA
National Provider Identifier
1083658223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GALEN INPATIENT PHYSICIAN INC.
- Practice address
- 3901 Lone Tree Way
Antioch, CA 94509 - Phone
- (925) 779-7200
- NPI assigned
- Jun 16, 2006
- Last updated
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Anglada
- Title
- M.D
- Phone
- (510) 350-2681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3901 Lone Tree Way
Antioch, CA 94509
Mailing address
2100 Powell Street
Ste 920
Emeryville, CA 94608
Phone (510) 350-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0093520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322000680 | CA | Part B Supplier - Clinic/Group Practice | 3678464633 |
Receives reassigned benefits from 977 practitioners This NPI is an additional NPI on the enrollment Practice locations: Oxnard, CA; Redding, CA; Roseville, CA; Saint Helena, CA; San Luis Obispo, CA; Selma, CA; Simi Valley, CA; Sonora, CA… |
| O20140702002722 | OR | Part B Supplier - Clinic/Group Practice | 3678464633 |
Receives reassigned benefits from 47 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portland, OR; Roseburg, OR; Tillamook, OR |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Vituity
- Internal Medicine Physician
- Madera, CA
- NPI 1063752939
O20140702002722
-
dba Vituity
- Internal Medicine Physician
- Hanford, CA
- NPI 1114285657
O20140702002722
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1063456283
O20140702002722
-
dba Vituity
- Internal Medicine Physician
- Roseburg, OR
- NPI 1063833960
O20140702002722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1083658223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL STREET",
"address_2": "STE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-779-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALEN INPATIENT PHYSICIAN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "ANGLADA",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "510-350-2681"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0093520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.