Individual provider Active NPI

Michael Lee Gales, PA-C

  • Medical Physician Assistant
  • Valencia, CA
National Provider Identifier
1730327933
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11119 Issued in CA
Practice address
27829 Palmetto Ridge Dr
Valencia, CA 91354-1314
Phone
(661) 297-1213
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11119 CA Primary

Addresses

Primary practice location

27829 Palmetto Ridge Dr
Valencia, CA 91354-1314

Mailing address

27829 Palmetto Ridge Dr
Valencia, CA 91354-1314
Phone (661) 297-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000533 CA Practitioner - Physician Assistant 3476788506 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Sep 16, 2013 Accepting new patients
Northeast Valley Health Corporation CurrentSince Sep 19, 2015 Accepting new patients
Northeast Valley Health Corporation CurrentSince Sep 19, 2015 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Sep 16, 2013 Accepting new patients

Locations

355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1200 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-8293

650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

Interoperability endpoints

  • Direct secure messaging: michael.galespa.p1@direct.jwch.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1730327933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27829 PALMETTO RIDGE DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541314",
            "telephone_number": "661-297-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27829 PALMETTO RIDGE DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541314",
            "telephone_number": "661-297-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALES",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "11119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.