Active NPI
Eduardo T Gallegos, M.D.
- Neurology Physician
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A86270
- Practice address
- 18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300 - Phone
- (760) 946-3876
- Fax
- (760) 242-1936
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A86270 | CA | Primary |
Addresses
Primary practice location
18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300
Mailing address
18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300
Phone (760) 946-3876
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18660 US Hwy 18
Apple Valley, CA 92307-2316
Phone 7602427777270
Hospital & facility affiliations
- Redlands Community Hospital
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 71.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86270 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Neuro-Diagnostic Medical Group, Inc. | Current | Accepting new patients | |
| Desert Valley Hospital, LLC | Past | Accepting new patients | |
| Victor Valley Community Hospital | Past | Accepting new patients |
Locations
18660 US Highway 18
Apple Valley, CA 92307
Phone (760) 515-1911
18523 Corwin Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-3876
18523 Corwin Rd
Apple Valley, CA 92307
Phone (909) 712-2764
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eduardogallegos@highdesert.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Specialist
- Apple Valley, CA
- NPI 1922028539
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1952311953
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1548218522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18523 CORWIN RD STE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072300",
"telephone_number": "760-946-3876",
"fax_number": "760-242-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18523 CORWIN RD STE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072300",
"telephone_number": "760-946-3876",
"fax_number": "760-242-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "EDUARDO",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A86270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.