Active NPI
Martha Gallo
- Adult Companion
- San Marcos, CA
National Provider Identifier
1588150296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 374700213
- Practice address
- 1227 Armorlite Dr Apt 102
San Marcos, CA 92069 - Phone
- (619) 559-4096
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 374700213 | CA | Primary |
Addresses
Primary practice location
1227 Armorlite Dr Apt 102
San Marcos, CA 92069
Mailing address
1227 Armorlite Dr Apt 102
San Marcos, CA 92069-1429
Phone (619) 559-4096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374700213 | Other | HCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374700213 | CA | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1588150296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 ARMORLITE DR APT 102",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691429",
"telephone_number": "619-559-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 ARMORLITE DR APT 102",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "92069",
"telephone_number": "619-559-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "MARTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": "374700213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCO",
"identifier": "374700213",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.