Active NPI
Kimberly Vanessa Galbreath, P.A.
- Medical Physician Assistant
- Kerman, CA
National Provider Identifier
1497899561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 13667
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324001939 | CA | Order and Referring Only - Physician Assistant | 5496986069 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 13667 | CA | MD | Medical Physician Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 13667 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.