Active NPI
Cesar Aldo Bernal Gallo, D.C.
- Chiropractor
- Seattle, WA
National Provider Identifier
1659515476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60159579
- Practice address
- 10223 16TH Ave SW
Seattle, WA 98146-1433 - Phone
- (206) 764-9600
- Fax
- (206) 762-6600
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60159579 | WA | Primary |
| Chiropractor | 111N00000X | 31234 | CA |
Addresses
Primary practice location
10223 16TH Ave SW
Seattle, WA 98146-1433
Mailing address
330 Meadow Ave N
Renton, WA 98057-5721
Phone (408) 569-6473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 SW Everett Mall Way
Suite G
Everett, WA 98204-2715
Phone (425) 355-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31234 | CA | MD | Chiropractor |
| CH60159579 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Chiropractor | Current | Accepting new patients |
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Hill Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Functional Health Consulting, LLC | Past | Accepting new patients | |
| Functional Health Consulting, LLC | Past | Accepting new patients |
Locations
15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222
2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551
Organizations & group practices 5
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.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1871801522
-
- Chiropractor
- Renton, WA
- NPI 1598548877
-
- Rehabilitation Chiropractor
- Everett, WA
- NPI 1619226891
-
- Sports Physician Chiropractor
- Kirkland, WA
- NPI 1790261444
-
- Chiropractor
- Seattle, WA
- NPI 1558631317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1659515476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MEADOW AVE N",
"city": "RENTON",
"state": "WA",
"postal_code": "980575721",
"telephone_number": "408-569-6473",
"fax_number": "206-762-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10223 16TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981461433",
"telephone_number": "206-764-9600",
"fax_number": "206-762-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL GALLO",
"first_name": "CESAR",
"middle_name": "ALDO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-23",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60159579",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.