Individual provider Active NPI

Allen D. Galster, MD

  • Surgery Physician
  • Healdsburg, CA
National Provider Identifier
1184708257
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G36691 Issued in CA
Practice address
1540 Healdsburg Ave
Healdsburg, CA 95448-3253
Phone
(707) 473-4404
Fax
(707) 473-4405
NPI assigned
Oct 25, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G36691 CA Primary

Addresses

Primary practice location

1540 Healdsburg Ave
Healdsburg, CA 95448-3253

Mailing address

1540 Healdsburg Ave
Healdsburg, CA 95448-3253
Phone (707) 473-4404

Other identifiers 1

IdentifierTypeStateIssuer
00G366910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36691CAMDChiropractor
G36691CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1184708257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HEALDSBURG AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483253",
            "telephone_number": "707-473-4404",
            "fax_number": "707-473-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HEALDSBURG AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483253",
            "telephone_number": "707-473-4404",
            "fax_number": "707-473-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALSTER",
        "first_name": "ALLEN",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G36691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G366910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.