Active NPI
Thomas A. Gallagher, D.C.
- Sports Physician Chiropractor
- Long Beach, CA
National Provider Identifier
1831235217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC21975
- Practice address
- 5324 E 2ND St
Long Beach, CA 90803-5332 - Phone
- (562) 433-2443
- Fax
- (562) 433-1770
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC21975 | CA | Primary |
Addresses
Primary practice location
5324 E 2ND St
Long Beach, CA 90803-5332
Mailing address
5324 E 2ND St
Long Beach, CA 90803-5332
Phone (562) 433-2443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000825 | CA | Practitioner - Chiropractic | 4385811421 | Practice locations: Long Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21975 | CA | MD | Sports Physician Chiropractor |
| 21975 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831235217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5324 E 2ND ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035332",
"telephone_number": "562-433-2443",
"fax_number": "562-433-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5324 E 2ND ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035332",
"telephone_number": "562-433-2443",
"fax_number": "562-433-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "THOMAS",
"middle_name": "A.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC21975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.