Individual provider Active NPI

Abdon Galera, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1396152179
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95002811 Issued in CA
Practice address
34800 Bob Wilson Dr
South of Market Mental Health Clinic
San Diego, CA 92134-1235
Phone
(619) 532-6400
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 566356 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95002811 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
South of Market Mental Health Clinic
San Diego, CA 92134-1235

Mailing address

Naval Medical Center San Diego
34800 Bob Wilson Dr
San Diego, CA 92134-0001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215001806 CA Practitioner - Nurse Practitioner 3678942539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
566356CAMDRegistered Nurse
95002811CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Dec 7, 2022 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Centers CurrentSince Dec 7, 2022 Accepting new patients

Locations (25 of 27)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1510 Florida Ave
Ste C
Modesto, CA 95350
Phone (209) 628-1468

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1524 McHenry Ave
Ste 560
Modesto, CA 95350

1510 Florida Ave
Ste B
Modesto, CA 95350
Phone (209) 574-1365

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1524 McHenry Ave
Ste 535
Modesto, CA 95350
Phone (209) 526-0462

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1524 McHenry Ave
Ste 550
Modesto, CA 95350
Phone (209) 557-5995

1540 Florida Ave
Modesto, CA 95350
Phone (209) 574-1030

1524 McHenry Ave
Ste 565
Modesto, CA 95350

1524 McHenry Ave
Ste 570
Modesto, CA 95350
Phone (209) 572-3880

1510 Florida Ave
Modesto, CA 95350
Phone (209) 549-7090

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1396152179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER SAN DIEGO",
            "address_2": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "SOUTH OF MARKET MENTAL HEALTH CLINIC",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341235",
            "telephone_number": "619-532-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALERA",
        "first_name": "ABDON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "566356",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.