Individual provider Active NPI

Paul Arthur Gallagher, M.D.

  • Adult Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1619162468
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G24924 Issued in CA
Practice address
North Highway 1
CMC Medical Department
San Luis Obispo, CA 93409-8101
Phone
(805) 549-7900
Fax
(805) 547-7513
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G24924 CA Primary

Addresses

Primary practice location

North Highway 1
CMC Medical Department
San Luis Obispo, CA 93409-8101

Mailing address

North Highway 1
CMC Medical Department,
San Luis Obispo, CA 93409-8101
Phone (805) 549-7900

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G24924CAMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1619162468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 1",
            "address_2": "CMC MEDICAL DEPARTMENT,",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934098101",
            "telephone_number": "805-549-7900",
            "fax_number": "805-547-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 1",
            "address_2": "CMC MEDICAL DEPARTMENT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934098101",
            "telephone_number": "805-549-7900",
            "fax_number": "805-547-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "PAUL",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G24924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.