Individual provider Active NPI

Michael Arthur Gales, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1629101191
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G32810 Issued in CA
Practice address
11847 Wilshire Blvd
Ste 303
Los Angeles, CA 90025-6620
Phone
(310) 473-2788
Fax
(310) 917-9143
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G32810 CA Primary

Addresses

Primary practice location

11847 Wilshire Blvd
Ste 303
Los Angeles, CA 90025-6620

Mailing address

11847 Wilshire Blvd
Ste 303
Los Angeles, CA 90025-6620
Phone (310) 473-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1629101191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11847 WILSHIRE BLVD",
            "address_2": "STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256620",
            "telephone_number": "310-473-2788",
            "fax_number": "310-917-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11847 WILSHIRE BLVD",
            "address_2": "STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256620",
            "telephone_number": "310-473-2788",
            "fax_number": "310-917-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALES",
        "first_name": "MICHAEL",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G32810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.