Jerry Jandoquile Gallaron, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

853514 Issued in NV

Practice address

6125 W Sahara Ave Ste 1B
Las Vegas, NV 89146-3037

Phone

(702) 248-0554

Fax

(888) 631-5152

NPI assigned

May 2, 2022

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IACHDD/Endpoint/IACHDD

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.

• Gallaron Group LLC

  • General Practice Registered Nurse
  • Las Vegas, NV
  • NPI 1023849890
  Medicare reassignment NPD Authorized official
• Urgent Care Nevada, LLC

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1134546575
  Medicare reassignment Care Compare group NPD
• Sahara West Urgent Care and Wellness LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1447702493
  Medicare reassignment NPD
• Sahara West Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1659840585
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1275278426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 W SAHARA AVE STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463037",
            "telephone_number": "702-248-0554",
            "fax_number": "888-631-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 W SAHARA AVE STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463037",
            "telephone_number": "702-248-0554",
            "fax_number": "888-631-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARON",
        "first_name": "JERRY",
        "middle_name": "JANDOQUILE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "853514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Gallardo
• Maria Elena Gallardo
• Victoria Ella Gallardo
• Yvonne Gallardo
• Gallaron Group LLC
• Edith Gabriela Gallarzo
• Marily Gallarzo
• Gina Gallegly
• Isabellea-Raine Gallego
• William Gallego

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.

Verify at the official NPI Registry.