Individual provider Active NPI

Galene Y Mead, PA

  • Physician Assistant
  • Chino Hills, CA
National Provider Identifier
1326254020
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18739 Issued in CA
Practice address
5827 Pine Ave
Suite a
Chino Hills, CA 91709-6534
Phone
(909) 613-0016
Fax
(909) 613-0026
NPI assigned
May 16, 2007
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18739 CA Primary

Addresses

Primary practice location

5827 Pine Ave
Suite a
Chino Hills, CA 91709-6534

Mailing address

5827 Pine Ave
Ste a
Chino Hills, CA 91709-6534
Phone (909) 613-0016

Other identifiers 1

IdentifierTypeStateIssuer
PA18739OtherCAPHYSICIAN ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161201001343 CA Practitioner - Physician Assistant 3476833831

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5827 Pine Ave
Suite a
Chino Hills, CA 91709-6534

5827 Pine Ave a
Chino Hills, CA 91709-6534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18739CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Park, M.D. a Professional Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00037
  • FHIR API: https://fhir4.healow.com/fhir/r4/IECBBA/Endpoint/IECBBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1326254020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 PINE AVE",
            "address_2": "STE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096534",
            "telephone_number": "909-613-0016",
            "fax_number": "909-613-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 PINE AVE",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096534",
            "telephone_number": "909-613-0016",
            "fax_number": "909-613-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "GALENE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA18739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.