Active NPI
Donna Gallik MD, a Medical Corporation
- Clinical Cardiac Electrophysiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G80598
- Legal business name
- DONNA GALLIK MD, A MEDICAL CORPORATION
- Practice address
- 8631 W 3Rd St
Suite 1017
Los Angeles, CA 90048-5901 - Phone
- (310) 289-5901
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Marie Gallik, MD
- Title
- MD
- Phone
- (310) 289-5901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G80598 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | G80598 | CA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G80598 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite 1017
Los Angeles, CA 90048-5901
Mailing address
17176 Avenida de Santa Ynez
Pacific Palisades, CA 90272
Phone (310) 289-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Donna Gallik MD a Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Los Angeles, CA
- NPI 1871617241
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- Los Angeles, CA
- NPI 1033100045
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1346267432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17176 AVENIDA DE SANTA YNEZ",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "90272",
"telephone_number": "310-289-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 1017",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-289-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONNA GALLIK MD, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "GALLIK",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "310-289-5901",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G80598",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G80598",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G80598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.