NPIMap

Individual provider Active NPI

Salvador Gallardo Guevara, M.D.

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1336427939
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
059593 Issued in CA
Practice address
3003 Oak Rd Ste 104
Walnut Creek, CA 94597
Phone
(925) 391-2220
Fax
(925) 391-2221
NPI assigned
Jul 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 059593 CA Primary

Addresses

Primary practice location

3003 Oak Rd Ste 104
Walnut Creek, CA 94597

Mailing address

2345 Country Hills Dr # 100
Antioch, CA 94509-7319
Phone (925) 418-0282

Other practice location 1

4721 Dallas Ranch Rd
Antioch, CA 94531-8811
Phone (925) 778-0679

Other names 1

  • Dr. Salvador G. Gallardo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116002096 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - Surgical Oncology 0840514063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: Surgical Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1479 Ygnacio Valley Rd
Suite 200
Walnut Creek, CA 94598-2986
Phone (925) 296-7340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059593CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service CurrentSince Sep 9, 2018 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Physician Network CurrentSince Jan 4, 2021 Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
Regents of the Univ of Ca Surgery Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

3100 San Pablo Ave
Ste 400
Berkeley, CA 94702
Phone (510) 985-5200

3100 San Pablo Ave
Ste 430
Berkeley, CA 94702
Phone (415) 476-3360

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

177 La Casa Via
Ste 200AD
Walnut Creek, CA 94598

1479 Ygnacio Valley Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 296-7340

Interoperability endpoints

  • Direct secure messaging: sguevara121888@ehr.johnmuirhealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1336427939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COUNTRY HILLS DR # 100",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097319",
            "telephone_number": "925-418-0282",
            "fax_number": "925-978-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 OAK RD STE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94597",
            "telephone_number": "925-391-2220",
            "fax_number": "925-391-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 Dallas Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318811",
            "country_code": "US",
            "telephone_number": "925-778-0679",
            "fax_number": "925-778-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "SALVADOR",
        "middle_name": "GALLARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-30",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "059593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALVADOR G.",
            "last_name": "GALLARDO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.