Organization Active NPI

M. Jacqueline Galang Inc.

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1952586067
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69426 Issued in CA
Legal business name
M. JACQUELINE GALANG INC.
Practice address
1262 E North St
Manteca, CA 95336
Phone
(209) 239-0120
Fax
(209) 239-0102
NPI assigned
Jan 8, 2008
Last updated
Aug 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Christina Serna
Title
Certified Medical Biller
Phone
(209) 239-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A69426 CA Primary

Addresses

Primary practice location

1262 E North St
Manteca, CA 95336

Mailing address

1262 E North St
Manteca, CA 95336-4962
Phone (209) 239-0120

Other practice location 1

165 St. Dominics Dr. Ste# 201
Manteca, CA 95337-7802
Phone (209) 239-0120

Other identifiers 1

IdentifierTypeStateIssuer
A694260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050617001023 CA Part B Supplier - Clinic/Group Practice 1052355252 Receives reassigned benefits from 1 practitioner
Practice locations: Manteca, CA

National Provider Directory

National Provider Directory

Locations

1262 E North St
Manteca, CA 95336
Phone (209) 239-0120

321 Cherry Ln
Manteca, CA 95337
Phone (209) 239-0120

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1952586067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364962",
            "telephone_number": "209-239-0120",
            "fax_number": "209-239-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "209-239-0120",
            "fax_number": "209-239-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 St. Dominics Dr. Ste# 201",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953377802",
            "country_code": "US",
            "telephone_number": "209-239-0120",
            "fax_number": "209-239-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M. JACQUELINE GALANG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL BILLER",
        "authorized_official_telephone_number": "209-239-0120"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A694260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.