Individual provider Active NPI

Joey Gallo Laplana

  • Acute Care Nurse Practitioner
  • Fremont, CA
National Provider Identifier
1962032961
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95013711 Issued in CA
Practice address
3680 Beacon Ave
Fremont, CA 94538-3033
Phone
(605) 223-1680
NPI assigned
Jan 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95013711 CA Primary

Addresses

Primary practice location

3680 Beacon Ave
Fremont, CA 94538-3033

Mailing address

4722 Rowell PT
Colorado SPGS, CO 80923-9271
Phone (719) 322-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325001663 CA Practitioner - Nurse Practitioner 9739574930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

150 N Jackson Ave
Suite 100
San Jose, CA 95116-1908
Phone (408) 769-5340

225 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 259-5000

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013711CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. CurrentSince Mar 25, 2022 Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

150 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 769-5340

Interoperability endpoints

  • Direct secure messaging: jlaplana236182@santaclaravalley.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1962032961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 ROWELL PT",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809239271",
            "telephone_number": "719-322-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383033",
            "telephone_number": "605-223-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPLANA",
        "first_name": "JOEY",
        "middle_name": "GALLO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.