Individual provider Active NPI

Mary Andrea Galang, LVN

  • Licensed Vocational Nurse
  • Menlo Park, CA
National Provider Identifier
1447852629
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
269382 Issued in CA
Practice address
795 Willow Rd BLDG 332
Menlo Park, CA 94025-2539
Phone
(650) 324-1470
Fax
(650) 324-4149
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 269382 CA Primary

Addresses

Primary practice location

795 Willow Rd BLDG 332
Menlo Park, CA 94025-2539

Mailing address

749 Cherry Way
Hayward, CA 94541-1832
Phone (510) 731-4047

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgalang@baartprograms.com BayMark Health Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
269382CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1447852629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 CHERRY WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411832",
            "telephone_number": "510-731-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD BLDG 332",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-324-1470",
            "fax_number": "650-324-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANG",
        "first_name": "MARY ANDREA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "269382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgalang@baartprograms.com",
            "affiliation": "Y",
            "affiliationName": "BayMark Health Services, Inc.",
            "address_1": "795 Willow Rd Bldg 332",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940252539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.