Individual provider Active NPI

Janice Gallegos, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1609577469
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265211 Issued in AZ
Practice address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone
(562) 435-3666
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 265211 AZ Primary

Addresses

Primary practice location

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Mailing address

914 W Mission Dr
Chandler, AZ 85225-2163
Phone (480) 766-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230327001890 AZ Practitioner - Nurse Practitioner 0941674345 Reassigns benefits to 2 organizations
I20231101002373 WA Practitioner - Nurse Practitioner 0941674345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1110 S Dobson Rd
Suite 1
Chandler, AZ 85286-6164
Phone (855) 485-4673

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc CurrentSince Oct 18, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Honorhealth CurrentSince Jun 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Apr 10, 2023 Accepting new patients
Honorhealth CurrentSince Jun 1, 2024 Accepting new patients
Scottsdale Healthcare Corp. CurrentSince Jun 1, 2024 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Scottsdale Healthcare Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

750 S Ironwood Dr
Ste 102
Apache Junction, AZ 85120
Phone (480) 740-7426

10320 W McDowell Rd
Ste H8025
Avondale, AZ 85392

1110 S Dobson Rd
Ste 1
Chandler, AZ 85286
Phone (623) 238-7540

16716 E Palisades Blvd
Ste 103
Fountain Hills, AZ 85268
Phone (480) 587-6550

3645 S Rome St
Ste 209
Gilbert, AZ 85297
Phone (480) 890-7705

5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

19646 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 238-7700

2222 E Highland Ave
Ste 400
Phoenix, AZ 85016
Phone (480) 767-2130

5055 E Washington St
Ste 210
Phoenix, AZ 85034
Phone (800) 424-5891

33400 N 32nd Ave
Ste 200
Phoenix, AZ 85085

9250 N 3rd St
Ste 3010
Phoenix, AZ 85020
Phone (623) 238-7750

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3621 N Wells Fargo Ave
Scottsdale, AZ 85251
Phone (480) 882-5566

3621 N Wells Fargo Ave
Ste 1
Scottsdale, AZ 85251
Phone (480) 882-5566

20745 N Scottsdale Rd
Ste 115
Scottsdale, AZ 85255
Phone (623) 238-7570

14674 W Mountain View Blvd
Ste 105
Surprise, AZ 85374
Phone (623) 238-7410

7695 S Research Dr
Tempe, AZ 85284
Phone (480) 256-1664

811 N Tegner St
Wickenburg, AZ 85390
Phone (928) 684-9555

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: jgallegos575764@direct.honorhealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1609577469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 W MISSION DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252163",
            "telephone_number": "480-766-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-435-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JANICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.