Justin Shane Gallegos

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

16400 Blossom Hill Rd
Los Gatos, CA 95032-3553

Phone

(408) 335-2100

NPI assigned

Nov 6, 2012

Sex

Male

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

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1194079582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CANNERY CIR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081442",
            "telephone_number": "408-705-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 BLOSSOM HILL RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323553",
            "telephone_number": "408-335-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JUSTIN",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Galdieri
• Galen Inpatient Physicians Inc
• Galen Inpatient Physicians Inc
• Galina Miciu-Nicolaevici, DDS, Inc.
• Kindal Anne Gallagher, PA-C
• Darla B Gallentine, DO
• Julia Gallinat, LCSW
• Camille Galvan, OTR/L
• Francisco Galvan
• Kevin Galvez, DPT

• Case Manager/Care Coordinator in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.