Kathleen Gallaher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40219 Issued in CA

Legal business name

KATHLEEN GALLAHER, M.D.

Practice address

17871 Santiago Blvd Ste 206
Villa Park, CA 92861-4118

Phone

(714) 974-1362

Fax

(714) 974-3145

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Kathleen Emilie Gallaher, M.D.NPI 1114034808

Title

Chief Executive Officer

Phone

(714) 974-1362

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Kathleen Emilie Gallaher, M.D.

  • Family Medicine Physician
  • Villa Park, CA
  • NPI 1114034808
  NPD (past) Authorized official
• Linda M. Warner, D.O.

  • Family Medicine Physician
  • Villa Park, CA
  • NPI 1609814854
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1649469750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 206",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614118",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 206",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614118",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN GALLAHER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "EMILIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-974-1362",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Haing Hur, MD
• Mohammed Toufic Jeiroudi, DDS
• Jeffrey Thomas Jones, DDS
• June Weinstein&Associates LLC
• Karma Doctors & Associates, P.C.
• Jacquiline. Kimera
• Jennifer Lynn Kroger, LAC
• Kyle Nishimura, DMD, Inc
• Deborah Annie Lee, DDS
• Tali Leitner, NP

• Family Medicine Physician in Villa Park, CA
• Providers in Villa Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.