Fred Galluccio MD & Assoc Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRED GALLUCCIO MD & ASSOC INC

Practice address

901 Dover Dr
Ste 102
Newport Beach, CA 92660-5538

Phone

(949) 646-4865

Fax

(949) 646-7716

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Fred J Galluccio, M.D.NPI 1104934397

Title

Owner

Phone

(949) 646-4865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred J Galluccio, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1104934397
  Medicare reassignment Care Compare group NPD Authorized official
• Paul M. Eisman, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1285639773
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437267648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-646-4865",
            "fax_number": "949-646-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-646-4865",
            "fax_number": "949-646-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED GALLUCCIO MD & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLUCCIO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-646-4865",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank C Raymer DDS Inc
• Alexandra Frankel, MD
• Michelle Beth Frankley, LCSW
• Kari A Franks, M.P.T.
• Molly Melissa Frantzen, R.D.
• Fred James Galluccio M.D.
• Julia Frederick, PA-C
• Ashley Freeborg
• Lawrence David Freedman, M.D.
• Brandon Frey, DPT

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.