Individual provider Active NPI

Mario Luis Salguero Galland, M.D., PH.D.

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1487947826
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A122101 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste B214
La Jolla, CA 92037-1708
Phone
(858) 461-8614
Fax
(888) 653-3671
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A122101 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste B214
La Jolla, CA 92037-1708

Mailing address

8677 Villa la Jolla Dr # 345
La Jolla, CA 92037-2354
Phone (858) 461-8614

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
I20141114002277 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 4880816479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Maestra Family Clinic, Inc. 13 clinicians

Practice addresses (Care Compare)

181 Rea Ave
El Cajon, CA 92020-3985
Phone (619) 280-4213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122101CAMDMarriage & Family Therapist
A122101CAMDPsychiatry Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic Inc CurrentSince Nov 5, 2021 Accepting new patients
County of San Diego CurrentSince Aug 16, 2014 Accepting new patients
County of San Diego CurrentSince Aug 16, 2014 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Nov 5, 2021 Accepting new patients
Scripps Health Current Accepting new patients
County of San Diego Current Accepting new patients
La Maestra Family Clinic, Inc. PastSince May 8, 2022 Accepting new patients
La Maestra Family Clinic, Inc. PastSince May 1, 2022 Accepting new patients
La Maestra Family Clinic, Inc. PastSince May 8, 2022 Accepting new patients
La Maestra Family Clinic, Inc. PastSince May 8, 2022 Accepting new patients
La Maestra Family Clinic, Inc. PastSince May 8, 2022 Accepting new patients

Locations

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

217 Highland Ave
National City, CA 91950
Phone (619) 280-4213

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

4157 Fairmount Ave
San Diego, CA 92105
Phone (619) 249-8255

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

4185 Fairmount Ave
San Diego, CA 92105
Phone (619) 280-1105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: msalguerogalland25803@scrippshlth.medalliesdirect.net
  • Direct secure messaging: mario.salguerogalland.p1@direct.lamaestra.nextgenshare.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1487947826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8677 VILLA LA JOLLA DR # 345",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372354",
            "telephone_number": "858-461-8614",
            "fax_number": "888-653-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B214",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371708",
            "telephone_number": "858-461-8614",
            "fax_number": "888-653-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGUERO GALLAND",
        "first_name": "MARIO LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A122101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.