Gerardo Soria Galang, MD
Individual provider Active NPI Internal Medicine Physician · Placerville, CA
NPI 1790711034 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1790711034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A96206 (CA)
- Practice address
- 1095 Marshall Way
Placerville, CA 95667-5722 - Phone
- (530) 626-2920
- Fax
- (530) 626-2945
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
1095 Marshall Way
Placerville, CA 95667-5722
3581 Palmer Dr
Suite 602
Cameron Park, CA 95682-8238
Phone (530) 672-7000
4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378
Hospital & facility affiliations
- Marshall Home Care
- Alpine Home Health Services LLC
- Accentcare Home Health of California, Inc
- Bellestar Home Health Care, Inc
- RX Staffing and Home Care
- Snowline Health
- Marshall Medical Center
- Sutter Roseville Medical Center
- Mercy Hospital of Folsom
- Gold Country Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshall Hospital |
Hospital | Corporate Director (6.66%) | Jul 1, 2022 |
| Marshall Home Care |
Home health agency | Corporate Director (6.66%) | Jul 1, 2022 |
| Divide Wellness Center |
Rural health clinic | Corporate Director (6.66%) | Jul 1, 2022 |
| Marshall Medical Center |
Rural health clinic | Corporate Director (6.66%) | Jul 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061031000562 | CA | Practitioner - Internal Medicine | 8729092804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96206 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Internal Medicine | Current |
Accepting new patients |
| Marshall Medical Center | Internal Medicine | Current |
Accepting new patients |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
4201 Town Center Blvd
Bldg D
El Dorado Hills, CA 95762
Phone (530) 344-5400
1095 Marshall Way
Placerville, CA 95667
Phone (530) 626-2920
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A96206 | CA | Yes |
Addresses
Primary practice location
1095 Marshall Way
Placerville, CA 95667-5722
Mailing address
PO Box 45680
San Francisco, CA 94145-0608
Phone (530) 626-2920
Other providers in Placerville, CA
- Andrea Marie Fritschle
- Bonnie Ballou Fuchs
- Jonathan Brett Fugitt
- Lucas Lee Fuller
- Frances Furio
- Robin Kathryn Galdi
- Melissa Gallagher
- Mary Gallego
- Anna Galloway
- Tammy S Gamble
All providers in Placerville, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.