Raymond C Galley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

84PA004 Issued in NM

Practice address

1651 Galisteo St Ste 8
Santa Fe, NM 87505-4752

Phone

(505) 820-9870

Fax

(505) 983-1265

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Physician Assistant

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1811059322
  Medicare reassignment Care Compare group
• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Santa Fe, NM
  • NPI 1225028541
  NPD (past)
• La Familia Medical Center

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1346251782
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1316935323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST STE 8",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054752",
            "telephone_number": "505-820-9870",
            "fax_number": "505-983-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GALISTEO ST STE 8",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054752",
            "telephone_number": "505-820-9870",
            "fax_number": "505-983-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEY",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "84PA004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS ASSISTANT CERTIFICATE",
            "identifier": "84-PA004",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0665",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gallegos, RN
• Margaret Lancaster Gallegos, MD
• Michael H Gallegos, D.D.S.
• Patricia R Gallegos
• Rita M Gallegos, LMT
• Galliant NM LLC
• Kimberly Gallovich
• Mamie Galston, LMT
• Ronnie Galvez
• Paige Alycia Gamache

• Medical Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.