Shanti R Gallon, CASE MGR / HSW
Individual provider Active NPI Case Manager/Care Coordinator · Upper Lake, CA
NPI 1669654232 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1669654232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 9860 Middle Creek Rd
Upper Lake, CA 95485-9265 - Phone
- (707) 275-8166
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
9860 Middle Creek Rd
Upper Lake, CA 95485-9265
Mailing address
PO Box 6768
Clearlake, CA 95422-6768
Other providers in Upper Lake, CA
- Andrea Coronado
- Elizabeth M Cumings
- Lisa Davies
- Debra K. Fenton
- Rayna S Freedman
- Isabel Gregorio-Flores
- Wendy Groshong
- Florence C. Irvine
- Lake County Office of Education
- Lake County Office of Education
All providers in Upper Lake, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.