Individual provider Active NPI

Mario Angelo Gallina, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1205066370
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12897 Issued in CA
Practice address
100 Bush St
Ste 1900
San Francisco, CA 94104-3921
Phone
(415) 445-9388
Fax
(415) 614-4546
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12897 CA
Acupuncturist 171100000X AC12897 CA Primary

Addresses

Primary practice location

100 Bush St
Ste 1900
San Francisco, CA 94104-3921

Mailing address

100 Bush St
Ste 1900
San Francisco, CA 94104-3921
Phone (415) 445-9388

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC12897CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Acupuncture Group Prof Corp Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1205066370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUSH ST",
            "address_2": "STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043921",
            "telephone_number": "415-445-9388",
            "fax_number": "415-614-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSH ST",
            "address_2": "STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043921",
            "telephone_number": "415-445-9388",
            "fax_number": "415-614-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "MARIO",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12897",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.