Active NPI
Galen Medical Group, Inc.
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1902384969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GALEN MEDICAL GROUP, INC.
- Practice address
- 1411 Expo Pkwy Ste 140
Sacramento, CA 95815-4239 - Phone
- (916) 346-4219
- Fax
- (916) 426-5757
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Galen Church, DO
- Title
- President/Ceo
- Phone
- (916) 346-4219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1411 Expo Pkwy Ste 140
Sacramento, CA 95815-4239
Mailing address
PO Box 161959
Sacramento, CA 95816-1959
Phone (916) 346-4219
Other practice location 1
2633 W Rumble Rd
Modesto, CA 95350-0154
Phone (916) 346-4219
National Provider Directory
National Provider DirectoryLocations
1411 Expo Pkwy
Ste 140
Sacramento, CA 95815
Phone (916) 346-4219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1902384969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161959",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958161959",
"telephone_number": "916-346-4219",
"fax_number": "916-426-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 EXPO PKWY STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154239",
"telephone_number": "916-346-4219",
"fax_number": "916-426-5757"
}
],
"practiceLocations": [
{
"address_1": "2633 W Rumble Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953500154",
"country_code": "US",
"telephone_number": "916-346-4219",
"fax_number": "916-426-5757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GALEN MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "CHURCH",
"authorized_official_first_name": "GALEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "916-346-4219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.