NPIMap

Individual provider Active NPI

Claudio H Gallego, M.D.

  • Nephrology Physician
  • San Dimas, CA
National Provider Identifier
1285649962
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G60873 Issued in CA
Practice address
1335 W Cypress Ave
Suite # 205
San Dimas, CA 91773-3537
Phone
(909) 542-2770
Fax
(909) 394-1800
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G60873 CA
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X G60873 CA Primary

Addresses

Primary practice location

1335 W Cypress Ave
Suite # 205
San Dimas, CA 91773-3537

Mailing address

1335 W Cypress Ave
Suite # 205
San Dimas, CA 91773-3537
Phone (909) 542-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000142 CA Practitioner - Internal MedicinePractitioner - Nephrology 7416990072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Kidney SpecialistsGroup PAC ID 0345232096, 16 clinicians

Practice addresses (Care Compare)

1304 W Holt Blvd
Suite a
Ontario, CA 91762-3640
Phone (909) 542-2777

1335 Cypress St
Suite 205
San Dimas, CA 91773-3538
Phone 90954227772770

315 N 3Rd Ave
Suite 104
Covina, CA 91723-1901
Phone (626) 332-2777

901 San Bernardino Rd
Suite 104
Upland, CA 91786-4993
Phone (909) 542-2779

Hospital & facility affiliations

  • Queens Dialysis Unit, Inc. Dialysis facility, West Covina, CA, CCN 052868
  • San Dimas Dialysis Center, Inc. Dialysis facility, San Dimas, CA, CCN 552552
  • Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
  • Cinta Hospice Care, Inc Hospice, Montclair, CA, CCN 921555
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Kindred Hospital Baldwin Park Long-term care hospital, Baldwin Park, CA, CCN 052045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
California Kidney Specialists Multi-Specialty CurrentSince Jul 15, 1991 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Multi-Specialty CurrentSince Sep 9, 2013 Accepting new patients
Yong Luke Lee Medical Corporation Multi-Specialty Past Accepting new patients
Queen'S Dialysis Unit, Inc. Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Casa Colina Hospital and Centers for Healthcare Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Multi-Specialty Past Accepting new patients
San Dimas Dialysis Center a Medical Corporation PastSince Apr 30, 2003 Accepting new patients
Emanate Health Medical Center Multi-Specialty Past Accepting new patients
Methodist Health, Inc. Multi-Specialty Past Accepting new patients

Locations

315 N 3rd Ave
Ste 104
Covina, CA 91723
Phone (626) 331-0133

717 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 327-9805

1304 W Holt Blvd
Ste A
Ontario, CA 91762
Phone (626) 859-2249

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

3235 E Colorado Blvd
Ste 102
Pasadena, CA 91107
Phone (626) 859-2249

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/
  • Direct secure messaging: claudio.gallego@californiakidney.cernerdirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1285649962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W CYPRESS AVE",
            "address_2": "SUITE # 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733537",
            "telephone_number": "909-542-2770",
            "fax_number": "909-394-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W CYPRESS AVE",
            "address_2": "SUITE # 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733537",
            "telephone_number": "909-542-2770",
            "fax_number": "909-394-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGO",
        "first_name": "CLAUDIO",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60873",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G60873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.