Connie J Galvez, N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

186786 Issued in CA

Practice address

116 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8904

Phone

(805) 349-8972

Fax

(805) 349-8958

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2692/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1417009671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-349-8972",
            "fax_number": "805-349-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-349-8972",
            "fax_number": "805-349-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "CONNIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "186786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "186786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Gallardo, PT
• Jazmin Lizbeth Gallardo
• Madison Galligan-Campbell, D.O.
• Jesse Galvan
• Samantha Arianna Galvan
• J Patrick Gantt III, D.C.
• Lynda Maxine Gantt, PHD, MFT
• Yuwei Gao
• Porfirio Garcia Diaz
• Garcia FCC

• Primary Care Nurse Practitioner in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.