Individual provider Active NPI

Aida Marcela Galan, D.M.D.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1265530554
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50257 Issued in CA
Practice address
1706 Hamilton Ave
San Jose, CA 95125-5424
Phone
(408) 377-8200
Fax
(408) 377-8206
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50257 CA Primary

Addresses

Primary practice location

1706 Hamilton Ave
San Jose, CA 95125-5424

Mailing address

PO Box 24586
San Jose, CA 95154-4586
Phone (408) 377-8200

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
50257CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1265530554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24586",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951544586",
            "telephone_number": "408-377-8200",
            "fax_number": "408-377-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255424",
            "telephone_number": "408-377-8200",
            "fax_number": "408-377-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAN",
        "first_name": "AIDA",
        "middle_name": "MARCELA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.