Organization Active NPI

Dermatology & Laser Centre, Inc

Doing business as Gergana Gallacher MD DBA Dermatology & Laser Centre

  • Dermatology Physician
  • Danville, CA
National Provider Identifier
1427488618
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A76447 Issued in CA
Legal business name
DERMATOLOGY & LASER CENTRE, INC
Doing business as
Gergana Gallacher MD DBA Dermatology & Laser Centre
Practice address
770 San Ramon Valley Blvd
Danville, CA 94526-4077
Phone
(925) 820-3376
Fax
(925) 820-3307
NPI assigned
Nov 25, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Gergana Gallacher, MDNPI 1457396277
Title
Owner
Phone
(925) 820-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A76447 CA Primary

Addresses

Primary practice location

770 San Ramon Valley Blvd
Danville, CA 94526-4077

Mailing address

770 San Ramon Valley Blvd
Danville, CA 94526-4077
Phone (925) 820-3376

Other names 1

  • Gergana Gallacher MD DBA Dermatology & Laser Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224000428 CA Part B Supplier - Clinic/Group Practice 7517197346 Receives reassigned benefits from 2 practitioners
Practice locations: Danville, CA

National Provider Directory

National Provider Directory

Locations

770 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 820-3376

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1427488618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SAN RAMON VALLEY BLVD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264077",
            "telephone_number": "925-820-3376",
            "fax_number": "925-820-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SAN RAMON VALLEY BLVD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264077",
            "telephone_number": "925-820-3376",
            "fax_number": "925-820-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & LASER CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "GALLACHER",
        "authorized_official_first_name": "GERGANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-820-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A76447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gergana Gallacher MD DBA Dermatology & Laser Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.