Individual provider Active NPI

Kimberly Vanessa Galbreath, P.A.

  • Medical Physician Assistant
  • Kerman, CA
National Provider Identifier
1497899561
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 13667 Issued in CA
Practice address
275 S Madera Ave Ste 201
Kerman, CA 93630-1401
Phone
(559) 846-5240
Fax
(559) 846-3787
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001939 CA Order and Referring Only - Physician Assistant 5496986069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 13667CAMDMedical Physician Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 13667 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

275 S Madera Ave Ste 201
Kerman, CA 93630-1401

Mailing address

275 S Madera Ave Ste 201
Kerman, CA 93630-1401
Phone (559) 846-5240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2014.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1497899561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MADERA AVE STE 201",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301401",
            "telephone_number": "559-846-5240",
            "fax_number": "559-846-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MADERA AVE STE 201",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301401",
            "telephone_number": "559-846-5240",
            "fax_number": "559-846-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBREATH",
        "first_name": "KIMBERLY",
        "middle_name": "VANESSA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 13667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.