Active NPI
Carolyn D Gale, RNC APRN
- Dietary Manager
- Costa Mesa, CA
National Provider Identifier
1255539912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- License
- 385488
- Practice address
- 3505 Cadillac Ave
Suite N-2
Costa Mesa, CA 92626-1429 - Phone
- (714) 979-5680
- NPI assigned
- Jul 4, 2007
- Last updated
- Aug 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 385488 | CA | Primary |
Addresses
Primary practice location
3505 Cadillac Ave
Suite N-2
Costa Mesa, CA 92626-1429
Mailing address
9477 Reserve Dr
Corona, CA 92883-9254
Phone (951) 277-0318
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385488 | CA | MD | Dietary Manager |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1255539912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9477 RESERVE DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928839254",
"telephone_number": "951-277-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 CADILLAC AVE",
"address_2": "SUITE N-2",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261429",
"telephone_number": "714-979-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALE",
"first_name": "CAROLYN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RNC APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-04",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CA",
"license": "385488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.