Thomas Joon Gallagher

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

303043 Issued in CA

Practice address

7862 El Cajon Blvd Ste 1
La Mesa, CA 91942-6712

Phone

(619) 697-3093

NPI assigned

Oct 10, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1386369510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 TROY LN",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424918",
            "telephone_number": "603-915-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 EL CAJON BLVD STE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426712",
            "telephone_number": "619-697-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "THOMAS",
        "middle_name": "JOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "303043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G O M G a Medical Partnership
• Lisa Lew Gabhart, M.D.
• Katherine Gackstetter
• Danielle Rose Gaffen, MS, RDN, LD
• Daniella Patricia Galindo
• Gallo Michels Professional Dental Corp (La Mesa Family Dental)
• Xavier Gamez
• Krauz K Ganadjian, MD
• Nikhil R Gandhi, MD
• ER-Kai Gao, M.D.

• Physical Medicine & Rehabilitation Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.