Individual provider Active NPI

Brandy Leigh Gallagher, NP

  • Family Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1114476769
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95004515 Issued in CA
Practice address
9850 Genesee Ave Ste 440
La Jolla, CA 92037-1212
Phone
(858) 453-5944
Fax
(858) 429-7925
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95004515 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 440
La Jolla, CA 92037-1212

Mailing address

1241 Hornblend St
San Diego, CA 92109-2947
Phone (720) 231-4713

Other practice location 1

320 Santa Fe Dr Ste 108
Encinitas, CA 92024-5141
Phone (760) 436-4558

Other practice location 2

1792 Garnet Ave
San Diego, CA 92109-3350
Phone (720) 231-4713

Other identifiers 1

IdentifierTypeStateIssuer
193400000XOtherCASINGLE FAMILY NURSE PRACTITIONER

Other names 1

  • Mrs. Brandy Leigh Barham-Scherer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95004515CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc CurrentSince Jun 1, 2020 Accepting new patients
Marque Medical Clinic, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Mar 17, 2017 Accepting new patients

Locations

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

4490 Fanuel St
Ste 100
San Diego, CA 92109

1792 Garnet Ave
San Diego, CA 92109
Phone (858) 483-1489

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1114476769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HORNBLEND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092947",
            "telephone_number": "720-231-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 440",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-453-5944",
            "fax_number": "858-429-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Santa Fe Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245141",
            "country_code": "US",
            "telephone_number": "760-436-4558",
            "fax_number": "858-429-7926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1792 Garnet Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093350",
            "country_code": "US",
            "telephone_number": "720-231-4713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "BRANDY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95004515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE FAMILY NURSE PRACTITIONER",
            "identifier": "193400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "BARHAM-SCHERER",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.