Mandy R.C. Gailey, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00913811 Issued in CA

Practice address

84 Santa Rosa St
Suite a
San Luis Obispo, CA 93405-1812

Phone

(805) 548-8585

Fax

(805) 548-8589

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14970/brand/1/csg/1/fhir/r4

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.

• Primary Care Partners - Slo, P.C.

  • Primary Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1831631001
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1962706994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SANTA ROSA ST",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051812",
            "telephone_number": "805-548-8585",
            "fax_number": "805-548-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SANTA ROSA ST",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051812",
            "telephone_number": "805-548-8585",
            "fax_number": "805-548-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILEY",
        "first_name": "MANDY",
        "middle_name": "R.C.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "00913811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIETETIC ASSOCIATION MEMBERSHIP",
            "identifier": "913811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela S. Garshelis, NP, Inc.
• Paul Eric Gabrielson, MA, ATC
• Divina Gabuat
• Hobert Gabuat
• Elisabeth Gaertner
• Linda Ann Galanos, RN, NP
• Cathy Jane Galavotti, PSY.D.
• Galen Inpatient Physicians PC
• Galileo Surgery Center, LP
• Rachel Galinato

• Registered Dietitian in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.