Individual provider Active NPI

Joseph Emmanuel Gallardo, NP, FNP-C

  • Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1558033969
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
276425 Issued in AZ
Practice address
5620 W Thunderbird Rd Ste C2
Glendale, AZ 85306-4639
Phone
(623) 329-8735
Fax
(623) 321-7259
NPI assigned
Oct 4, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 276425 AZ
General Practice Registered Nurse 163WG0000X RN196045 AZ
Nurse Practitioner 363L00000X 276425 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd Ste C2
Glendale, AZ 85306-4639

Mailing address

5620 W Thunderbird Rd Ste C2
Glendale, AZ 85306-4639
Phone (623) 329-8735

Other practice location 1

2555 S 156th Ave
Goodyear, AZ 85338-3222
Phone (623) 329-8735

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PracticeFusion Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220926002212 AZ Practitioner - Nurse Practitioner 0244616472

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4022 E Greenway Rd
Suite 11 180
Phoenix, AZ 85032-4760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276425AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landerma Healthcare Services CurrentSince Jun 16, 2024 Accepting new patients
Wound Care Consultants U S LLC Nurse Practitioner PastSince Oct 29, 2023 Accepting new patients

Locations

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

5620 W Thunderbird Rd
Ste C2
Glendale, AZ 85306
Phone (623) 329-8735

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1558033969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE C2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064639",
            "telephone_number": "623-329-8735",
            "fax_number": "623-321-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE C2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064639",
            "telephone_number": "623-329-8735",
            "fax_number": "623-321-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 S 156th Ave",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853383222",
            "country_code": "US",
            "telephone_number": "623-329-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "JOSEPH",
        "middle_name": "EMMANUEL",
        "credential": "NP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "276425",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN196045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "276425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5620 W Thunderbird Rd Ste C2",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853064639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.