Jacob Ruben Gallegos

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9314 Ryder Dr
San Antonio, TX 78254-2000

Phone

(210) 816-9731

NPI assigned

Nov 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1912617325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 DOLORES AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285834",
            "telephone_number": "210-612-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 RYDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542000",
            "telephone_number": "210-816-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JACOB",
        "middle_name": "RUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Gallegos, CCC-SLP
• Eric Gallegos
• Erma Gallegos, LVN
• Gene Gallegos, LVN
• Hector Gallegos
• Jennifer Jade Gallegos, M.D.
• Jessica Rae Gallegos, CPNP-AC
• Jesus S Gallegos, MD
• Michael Christopher Gallegos, MD
• Rosalio T Gallegos

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

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