Individual provider Active NPI

Humberto A Galleno, M.D.

  • Orthopaedic Surgery Physician
  • Covina, CA
National Provider Identifier
1760410757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G38401 Issued in CA
Practice address
315 N 3Rd Ave
Suite 302
Covina, CA 91723-1905
Phone
(626) 332-1194
Fax
(626) 915-3162
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G38401 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave
Suite 302
Covina, CA 91723-1905

Mailing address

315 N 3Rd Ave
Suite 302
Covina, CA 91723-1905
Phone (626) 332-1194

Other identifiers 1

IdentifierTypeStateIssuer
00G384010MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000428 CA Practitioner - Orthopedic Surgery 0143306050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Oct 1, 2017 Accepting new patients
Emanate Health Medical Care Foundation Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Emanate Health Medical Group Current Accepting new patients
Emanate Health Medical Group CurrentSince Oct 1, 2017 Accepting new patients
San Gabriel Valley Surgical Center LP PastSince Jun 30, 2004 Accepting new patients

Locations

14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544

315 N 3rd Ave
Ste 302
Covina, CA 91723
Phone (626) 332-1194

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760410757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 302",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-332-1194",
            "fax_number": "626-915-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 302",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-332-1194",
            "fax_number": "626-915-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLENO",
        "first_name": "HUMBERTO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G38401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G384010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.