Gallego Plastic Surgery Medical Group, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A84081 Issued in CA

Legal business name

GALLEGO PLASTIC SURGERY MEDICAL GROUP, INC.

Practice address

4050 Barranca Pkwy Ste 220
Irvine, CA 92604-1723

Phone

(877) 389-0368

Fax

(949) 502-6501

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Matthew Gallego, M.D.NPI 1427150325

Title

President

Phone

(714) 935-0073

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Matthew Gallego, M.D.

  • Plastic Surgery Physician
  • Yuba City, CA
  • NPI 1427150325
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629127196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928566218",
            "telephone_number": "714-935-0073",
            "fax_number": "714-935-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BARRANCA PKWY STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041723",
            "telephone_number": "877-389-0368",
            "fax_number": "949-502-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLEGO PLASTIC SURGERY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-935-0073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A84081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Fred Galindo, M.A., M.F.T.
• Megan Ann Gallagher, PHARMD
• Karina Gallardo
• Miguel Gallardo, PSY.D.
• Tonansi Queren Gallardo
• Adrian Nicolas Gallegos
• Alexandra Gallegos
• Catherine Alexandria Gallegos
• Johnny Luz Gallegos, APCC
• Aurora C Galli

• Plastic Surgery Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.