Individual provider Active NPI

Leandro R Garcia Gallegos

  • Non-emergency Medical Transport (VAN)
  • Cathedral City, CA
National Provider Identifier
1295190882
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
68250 Hermosillo Rd
Cathedral City, CA 92234-3649
Phone
(760) 464-1200
NPI assigned
Dec 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X CA Primary

Addresses

Primary practice location

68250 Hermosillo Rd
Cathedral City, CA 92234-3649

Mailing address

68250 Hermosillo Rd
Cathedral City, CA 92234-3649
Phone (760) 464-1200

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1295190882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68250 HERMOSILLO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343649",
            "telephone_number": "760-464-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68250 HERMOSILLO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343649",
            "telephone_number": "760-464-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GALLEGOS",
        "first_name": "LEANDRO",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.