Shana Alina Gallup, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

21565 Issued in CA

Practice address

990 Highland Dr
Suite 100
Solana Beach, CA 92075-2408

Phone

(858) 509-2629

Fax

(858) 481-8816

NPI assigned

Oct 17, 2012

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 names 1

• Shana Alina Wolfe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage de Beixedon Breslin, PH.D.: Psychologist - a Professional Corp

  • Counseling Psychologist
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  • NPI 1801172879
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1780937698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HGHLAND DR.",
            "address_2": "SUITE 100",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750000",
            "telephone_number": "858-509-2629",
            "fax_number": "858-481-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HIGHLAND DR",
            "address_2": "SUITE 100",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752408",
            "telephone_number": "858-509-2629",
            "fax_number": "858-481-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "SHANA",
        "middle_name": "ALINA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "WOLFE",
            "middle_name": "ALINA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glenn Barry Frieder, DC
• Malia Kimi Fujita, DPT
• Erin Elizabeth Fulmer, PHARMD
• G3 Physical Therapy and Wellness Center PC
• Elona Alexandrovna Gaball, D.D.S.
• Alexa Rae Garcia, DC
• Yuridia S Garcia, ND
• Garfield Beach CVS LLC
• Wanda Dowell Garner, LMFT
• Gaspar Physical Therapy a Professional Corporation

• Chiropractor in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.