Individual provider Active NPI

Gergana Gallacher, MD

  • Dermatology Physician
  • Danville, CA
National Provider Identifier
1457396277
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A76447 Issued in CA
Practice address
770 San Ramon Blvd
Danville, CA 94526-4407
Phone
(925) 820-3376
Fax
(925) 820-3307
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

770 San Ramon Blvd
Danville, CA 94526-4407

Mailing address

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

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000557 CA Practitioner - Dermatology 0749263887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions143
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76447CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Laser Centre, Inc Dermatology CurrentSince Feb 28, 2014 Accepting new patients
Stanford Health Care Dermatology Past Accepting new patients
John Muir Health PastSince Feb 28, 2014 Accepting new patients

Locations

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

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457396277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SAN RAMON 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 BLVD",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264407",
            "telephone_number": "925-820-3376",
            "fax_number": "925-820-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLACHER",
        "first_name": "GERGANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A76447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.