Active NPI
Mario Luis Salguero Galland, M.D., PH.D.
- Psychiatry Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A122101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141114002277 | CA | Practitioner - Psychiatry | 4880816479 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Maestra Family Clinic, Inc.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122101 | CA | MD | Marriage & Family Therapist |
| A122101 | CA | MD | Psychiatry Physician |
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic Inc | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Past | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Past | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Past | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Past | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Past | 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
- msalguerogalland25803@scrippshlth.medalliesdirect.net
- 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.
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
CA
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1134590086
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1164167656
-
- Health Service Clinic/Center
- El Cajon, CA
- NPI 1740881085
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1265831960
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1508949645
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1609849074
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1780376012
-
- Community Health Clinic/Center
- Lemon Grove, CA
- NPI 1891011599
-
- Ambulance
- San Diego, CA
- NPI 1316685159
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.