Constance Camille Gallardo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

159764 Issued in CA

Practice address

Harbor-UCLA 1000 W. Carson Street
BLDG N25-Room E111
Torrance, CA 90502

Phone

(310) 222-4246

NPI assigned

May 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174735880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16931 BLUEWATER LANE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492926",
            "telephone_number": "562-592-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARBOR-UCLA 1000 W. CARSON STREET",
            "address_2": "BLDG N25-ROOM E111",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "310-222-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "CONSTANCE",
        "middle_name": "CAMILLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "159764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derick William Galdamez
• Beth Ann Galimi, OTR/L
• Jennifer B. Galindo, NP
• Rafael Galindo
• Sergio Galindo
• Eric Manuel Gallardo, ACNP
• Orville Gallego
• Ashley Elena Gallegos
• Christina Gallegos
• Ron P Gallemore, MD

• Family Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.