Misael Gallegos, COTA/L

Primary specialty

Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X

License

7004 Issued in CA

Practice address

18270 Siskiyou Rd # B
Apple Valley, CA 92307-1413

Phone

(760) 991-3020

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Legacy Therapeutic Services, Inc.

  dba The Children's Clinic

  • Occupational Therapist
  • Apple Valley, CA
  • NPI 1942910724
  NPD

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1225853146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25755 RITTER AVE",
            "city": "HOMELAND",
            "state": "CA",
            "postal_code": "925489280",
            "telephone_number": "562-322-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD # B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-991-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MISAEL",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "7004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Gaeta
• Amy Louree Gage
• James L Gallacher
• Eduardo T Gallegos, M.D.
• Laurel Elizabeth Gallegos
• Oscar Ivan Gallegos
• Kim Gallo
• Kristine Galvan
• Isabel Galvez
• Game Changer Allied Health

• Occupational Therapy Assistant in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.