Active NPI
Galen Harold Gattis, FNP-C
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1891975579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9878
- Practice address
- 2003 Bayview Heights Dr
Space 135
San Diego, CA 92105-5526 - Phone
- (619) 980-1650
- NPI assigned
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9878 | CA | Primary |
Addresses
Primary practice location
2003 Bayview Heights Dr
Space 135
San Diego, CA 92105-5526
Mailing address
2003 Bayview Heights Dr
Space 135
San Diego, CA 92105-5526
Phone (619) 980-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9878 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1891975579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 BAYVIEW HEIGHTS DR",
"address_2": "SPACE 135",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921055526",
"telephone_number": "619-980-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 BAYVIEW HEIGHTS DR",
"address_2": "SPACE 135",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921055526",
"telephone_number": "619-980-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTIS",
"first_name": "GALEN",
"middle_name": "HAROLD",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-09",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "9878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.