Alyssa M Galusha-Sagocio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AMD-547 Issued in HI

Practice address

770 Kapiolani Blvd
#705
Honolulu, HI 96813

Phone

(808) 597-8791

Fax

(808) 597-8781

NPI assigned

Nov 5, 2013

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa M Galusha Former name

Medicare fee-for-service enrollment

Enrolled in HI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Emergency Medicine Physicians of Honolulu Pali Momi, LLC

  • Emergency Medicine Physician
  • Aiea, HI
  • NPI 1699076976
  Medicare reassignment
• The Emergency Group, Inc.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1013943414
  Medicare reassignment

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1144659608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1239 HOOKEHA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071533",
            "telephone_number": "808-799-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD",
            "address_2": "#705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-597-8791",
            "fax_number": "808-597-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUSHA-SAGOCIO",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GALUSHA",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Miranda Gallegos
• Jane Galluzzi, C.HT.
• Sean Louis Galmon, RBT
• Dawn M Galofski, OT
• Justin M. Galovich, MD
• Sheena Galutira, LMHC, NCC
• Arlene De Guzman Gamboa, CNA
• Ivanna Gamboa
• Gamma Knife Center of the Pacific Inc
• Linda Ingridson Gamo Gougue, MD

• Physician Assistant in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.