Active NPI
Galen Cortina, MD
- Anatomic Pathology & Clinical Pathology Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G81199
- Practice address
- 15211 Vanowen St Ste 208
Van Nuys, CA 91405-3623 - Phone
- (818) 782-6600
- NPI assigned
- Jun 30, 2006
- Last updated
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G81199 | CA | Primary |
Addresses
Primary practice location
15211 Vanowen St Ste 208
Van Nuys, CA 91405-3623
Mailing address
PO Box 260023
Saint Louis, MO 63126-8023
Phone (314) 849-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G811990 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Wisconsin, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (818) 782-6600
50 Alessandro PL
Suite 440
Pasadena, CA 91105-3146
Phone (626) 808-4772
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G81199 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path MD Inc | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Skyline Urology | Current | Accepting new patients | |
| Urology Institute of the South Bay | Current | Accepting new patients | |
| Marvel Path PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Northwest Pathology PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
50 Alessandro Pl
Ste 440
Pasadena, CA 91105
Phone (626) 440-9190
16835 W Bernardo Dr
Ste 212
San Diego, CA 92127
Phone (858) 810-7280
18321 Ventura Blvd
Ste 150
Tarzana, CA 91356
Phone (818) 776-0660
23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
15211 Vanowen St
Ste 208
Van Nuys, CA 91405
Phone (818) 343-0705
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Anatomic Pathology & Clinical Pathology Physician
- Van Nuys, CA
- NPI 1861096430
-
- Clinical Medical Laboratory
- Irvine, CA
- NPI 1124316138
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
-
dba Avero Diagnostics
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1134721756
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1194753657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260023",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631268023",
"telephone_number": "314-849-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST STE 208",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053623",
"telephone_number": "818-782-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTINA",
"first_name": "GALEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G81199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G811990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.