Organization Active NPI

Galen Medical Group, Inc.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1902384969
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 16, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.