Individual provider Active NPI

Nikkelle Gallegos-Knight, DNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1518524107
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011257 Issued in CA
Practice address
2700 N Bellflower Blvd
Long Beach, CA 90815-1129
Phone
(562) 473-4441
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011257 CA Primary

Addresses

Primary practice location

2700 N Bellflower Blvd
Long Beach, CA 90815-1129

Mailing address

1100 Calle del Cerro Apt 104
San Clemente, CA 92672-6027

Other practice location 1

1100 Calle Del Cerro Apt 104
San Clemente, CA 92672-6027
Phone (208) 406-6990

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
I20210713001526 CA Practitioner - Nurse Practitioner 5698177624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical Group of California, P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: nikki@ghtiamc-ca.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1518524107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CALLE DEL CERRO APT 104",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151129",
            "telephone_number": "562-473-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Calle Del Cerro Apt 104",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926726027",
            "country_code": "US",
            "telephone_number": "208-406-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS-KNIGHT",
        "first_name": "NIKKELLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.