Kathleen Emilie Gallaher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40219 Issued in CA

Practice address

17871 Santiago Blvd
Suite 206 First Floor
Villa Park, CA 92861-4141

Phone

(714) 974-1362

Fax

(714) 974-3145

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda M. Warner, D.O.

  • Family Medicine Physician
  • Villa Park, CA
  • NPI 1609814854
  Medicare reassignment

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.

• Kathleen Gallaher, M.D.

  • Family Medicine Physician
  • Villa Park, CA
  • NPI 1649469750
  NPD (past) Authorized official
• Orange County Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114034808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD",
            "address_2": "SUITE 206 FIRST FLOOR",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614141",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD",
            "address_2": "SUITE 206 FIRST FLOOR",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614141",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "KATHLEEN",
        "middle_name": "EMILIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1010073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Eisenbach
• Jennifer Emter
• Kenneth John Fischer, DDS
• Kristen Michele Fuller, M.D.
• James Patrick Furcolow, O.D.
• Kathryn A. Gibbs, M.D.
• Golden Hands Orthopedic Group, Inc
• Richard Lyle Goldman, MD
• David Grasso
• Hillside Horizon for Teens LLC

• Family Medicine Physician in Villa Park, CA
• Providers in Villa Park, 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 Mar 7, 2023; 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.

Verify at the official NPI Registry.