Active NPI
Enrique Gallardo
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1689948606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2550 E Foothill Blvd
Pasadena, CA 91107-3406 - Phone
- (626) 255-5874
- NPI assigned
- Mar 8, 2012
- Last updated
- Mar 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2550 E Foothill Blvd
Pasadena, CA 91107-3406
Mailing address
3010 Vineland Ave
Apt. #12
Baldwin Park, CA 91706-5040
Phone (626) 476-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1912208356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1689948606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 VINELAND AVE",
"address_2": "APT. #12",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917065040",
"telephone_number": "626-476-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073406",
"telephone_number": "626-255-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "ENRIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.