Christian Gallery MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G66256 Issued in CA

Legal business name

CHRISTIAN GALLERY MD

Practice address

2644 M St
Ste. H
Merced, CA 95340-2826

Phone

(209) 385-3280

Fax

(209) 385-3286

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Christian Andrew Gallery, MD

Title

Owner

Phone

(209) 385-3280

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1871606251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 M ST STE H",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402826",
            "telephone_number": "209-385-3280",
            "fax_number": "209-385-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 M ST",
            "address_2": "STE. H",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402826",
            "telephone_number": "209-385-3280",
            "fax_number": "209-385-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN GALLERY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "GALLERY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-385-3280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G66256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP NUMBER",
            "identifier": "ZZZ65531Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Tanaka Chin, D.O.
• Erica Choi, WHNP
• Lillian Y Choi, MD
• Iram Choudhry, RN BSN
• Chris Rollins & Laura Williams PTRS
• Rolland Christian III, RADT I
• Brian Chu
• Noshaba Roohi Chughtai, M.D.
• Meaghan D Cicairos, ASW
• Carlota Barde Cinco, NP

• General Practice Physician in Merced, CA
• Providers in Merced, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.