Active NPI
Elizabeth Funke Gall, R.N., F.N.P.-C.
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1487636932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11294
- Practice address
- 2360 Stockton Blvd
Hemophilia Treatment Center
Sacramento, CA 95817-2209 - Phone
- (916) 734-7624
- Fax
- (916) 734-3951
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 413322 | CA | |
| Family Nurse Practitioner | 363LF0000X | 11294 | CA | Primary |
Addresses
Primary practice location
2360 Stockton Blvd
Hemophilia Treatment Center
Sacramento, CA 95817-2209
Mailing address
2315 Stockton Blvd
Room 1P517 Cardiology
Sacramento, CA 95817-2201
Phone (916) 703-6421
Other names 1
- Ms. Elizabeth Ann Funke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 413322 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garcia, Lee & Concepcion Medical Group | Past | Accepting new patients | |
| Garcia Lee and Concepcion Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1417020579
-
- Family Medicine Physician
- West Sacramento, CA
- NPI 1639368079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1487636932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"address_2": "ROOM 1P517 CARDIOLOGY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-703-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 STOCKTON BLVD",
"address_2": "HEMOPHILIA TREATMENT CENTER",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172209",
"telephone_number": "916-734-7624",
"fax_number": "916-734-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "ELIZABETH",
"middle_name": "FUNKE",
"name_prefix": "Ms.",
"credential": "R.N., F.N.P.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "413322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "11294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "FUNKE",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "R.N., F.N.P.-C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.
- 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.