Active NPI
Conner Gallagher
- Family Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017701
- Practice address
- 6859 Magnolia Ave Ste 1
Riverside, CA 92506-2866 - Phone
- (951) 824-7887
- NPI assigned
- Jul 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017701 | CA | Primary |
Addresses
Primary practice location
6859 Magnolia Ave Ste 1
Riverside, CA 92506-2866
Mailing address
36459 Rhubarb CT
Winchester, CA 92596-8693
Phone (714) 549-8798
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017701 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| CMG Express Care, Inc | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
25333 Barton Rd
Loma Linda, CA 92350
Phone (909) 558-6000
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
6859 Magnolia Ave
Ste 1
Riverside, CA 92506
Phone (951) 824-7887
Interoperability endpoints
- cgallagher262936@direct.llu.edu
Organizations & group practices 7
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Riverside, CA
- NPI 1962746404
-
- Anatomic Pathology & Clinical Pathology Physician
- Loma Linda, CA
- NPI 1245605781
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1386217883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36459 RHUBARB CT",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968693",
"telephone_number": "714-549-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6859 MAGNOLIA AVE STE 1",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062866",
"telephone_number": "951-824-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "CONNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.