Active NPI
Severino Galang Gana III, RN
- Registered Nurse
- Santee, CA
National Provider Identifier
1295035442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 747274
- Practice address
- 10029 Day Creek TRL
Santee, CA 92071-7212 - Phone
- (619) 971-3992
- NPI assigned
- Oct 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 747274 | CA | Primary |
Addresses
Primary practice location
10029 Day Creek TRL
Santee, CA 92071-7212
Mailing address
10029 Day Creek TRL
Santee, CA 92071-7212
Phone (619) 971-3992
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747274 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1295035442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10029 DAY CREEK TRL",
"city": "SANTEE",
"state": "CA",
"postal_code": "920717212",
"telephone_number": "619-971-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10029 DAY CREEK TRL",
"city": "SANTEE",
"state": "CA",
"postal_code": "920717212",
"telephone_number": "619-971-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANA",
"first_name": "SEVERINO",
"middle_name": "GALANG",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-21",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "747274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.