Amy Galin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G67765 Issued in CA

Practice address

162 1St St
Port Hueneme, CA 93043-4316

Phone

(805) 982-6342

NPI assigned

Aug 10, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment NPD
• County of Ventura

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253
  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477555464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 1ST ST",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930434316",
            "telephone_number": "805-982-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 1ST ST",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930434316",
            "telephone_number": "805-982-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G67765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Soroka MD Inc
• Susan E. Faber-Brook, CA LCSW
• Kamel Faragallah
• Michael Fellner
• Araly Abigail Fernandez
• Nancy Garcia
• Kyle Leonard Gosselin, IDC
• Natalie R Grandmont
• Gustavo a. Assatourians D.D.S. Inc.
• Weston Joseph Gutierrez I

• Pediatrics Physician in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.