Yammile Ceballos Gallegos, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05879 Issued in TX

Practice address

7305 San Dario Ave
Suite G #125
Laredo, TX 78045-7295

Phone

(956) 795-8393

Fax

(956) 795-8396

NPI assigned

Aug 19, 2008

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A.L.L. Lonestar Inc

  dba SYERGY HomeCare

  • In Home Supportive Care Agency
  • Austin, TX
  • NPI 1558784348
  NPD Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1326295676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 ROCIO DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416550",
            "telephone_number": "956-795-8393",
            "fax_number": "956-795-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 SAN DARIO AVE",
            "address_2": "SUITE G #125",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457295",
            "telephone_number": "956-795-8393",
            "fax_number": "956-795-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "YAMMILE",
        "middle_name": "CEBALLOS",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05879",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Gallegos, PT, DPT
• Kassandra Gallegos
• Marcela Gallegos, PA-C
• Melissa Gallegos
• Miriam Gallegos, ASSISTANT SLP
• Michael Vincent Galo, MD
• Laura Anahi Galvan Leal, CSFA
• Juan Gerardo Galvan-Rodriguez, LCSW-S
• Alberto Galvan, FNP-C
• Carolina Galvan

• Physician Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.