Gabriela Romero Gallardo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20813 Issued in CA

Practice address

1415 Ross Ave
El Centro, CA 92243-4306

Phone

(760) 339-7254

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Regents of the University of California

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1780870899
  Medicare reassignment NPD
• Regents of the Unviersity of California

  • Emergency Medicine Physician
  • La Jolla, CA
  • NPI 1629095500
  NPD
• Alpine Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • El Centro, CA
  • NPI 1205071776
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1740512466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 L PORTER CT",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314120",
            "telephone_number": "760-562-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "GABRIELA",
        "middle_name": "ROMERO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740512466",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Galaviz
• Jessica Alicia Galaviz
• Janina Gabrielle Galeana
• Christina Galindo, APRN, FNP-C, PNP
• Yannira G Galindo
• Yvonne Michelle Gallego
• Angelica Gallo
• Maritza Gallo
• Nancy Galvan Lara, BA
• Elizabeth Galvan-Guerrero

• Medical Physician Assistant in El Centro, CA
• Providers in El Centro, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.