Andre V Gallardo, OTR, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19169 Issued in CA

Practice address

16200 Amber Valley Dr
Whittier, CA 90604-4051

Phone

(562) 943-7125

Fax

(562) 903-3398

NPI assigned

May 11, 2007

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Practitioners Corporation

  dba OUCH Urgent Care

  • Urgent Care Clinic/Center
  • Whittier, CA
  • NPI 1679922025
  Authorized official Same address or phone

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1871708859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 MOSSVALE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494824",
            "telephone_number": "714-206-9884",
            "fax_number": "714-908-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 AMBER VALLEY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044051",
            "telephone_number": "562-943-7125",
            "fax_number": "562-903-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Corporate Plaza Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607925",
            "country_code": "US",
            "telephone_number": "949-404-4444",
            "fax_number": "949-404-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "ANDRE",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "OTR, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "4374",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S ASSISTANT",
            "identifier": "19169",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT 4374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald G. Galbreath, M.D.
• Andrea Galdamez, PA
• Christian E Gale, MSW
• Leonard Alan Gale, M.D.
• Anna Galindo
• Eddie Adrian Gallardo
• Dana Gallegos
• Teresa Gallegos, RN
• Valerie Merry Gallegos, M.D.
• Dana Marie Gallo

• Physician Assistant in Whittier, CA
• Providers in Whittier, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.