Rene Gallegos

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA48778 Issued in CA

Practice address

1911 Oak Park Blvd
Pleasant Hill, CA 94523-4601

Phone

(925) 935-6630

NPI assigned

Oct 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1366919441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 MOUNT DIABLO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 OAK PARK BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234601",
            "telephone_number": "925-935-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Fritz, LMFT
• Samantha Fryer
• Kyedda Izzabella Sobejana Gabuat, OTR/L
• Andrea Marie Gadson
• John Paul Gallagher
• Shelley Galvan, LMFT
• Mariela Gamboa, D.D.S.
• Nathaniel Gamsky, MD
• Patrice Mackaronis Gandek, MSW
• Lauren C. Gannon, MD

• Physical Therapy Assistant in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.