M Jacqueline Galang, MD
Individual provider Active NPI Internal Medicine Physician · Manteca, CA
NPI 1972586097 · NPPES record last updated Aug 10, 2018
Key facts
- NPI
- 1972586097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A69426 (CA)
- Practice address
- 1262 E North St
Manteca, CA 95336 - Phone
- (209) 239-0120
- Fax
- (209) 239-0102
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
321 Cherry LN
Manteca, CA 95337-4355
Phone (209) 239-0120
Hospital & facility affiliations
- Careone Home Health and Hospice, Inc
- Home Care for the 21St Century Stockton
- Lifeguard Home Health
- Doctors Hospital of Manteca
- St Joseph'S Medical Center of Stockton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050620000137 | CA | Practitioner - Internal Medicine | 7315981511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Jacqueline Galang Inc. | Internal Medicine | Current |
Accepting new patients |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Doctors Hospital of Manteca, Inc. | Past | Accepting new patients |
Locations
321 Cherry Ln
Manteca, CA 95337
Phone (209) 239-0120
1262 E North St
Manteca, CA 95336
Phone (209) 823-7646
165 Saint Dominics Dr
Ste 201
Manteca, CA 95337
Phone (209) 239-0120
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mgalang15143@hpmg.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A69426 | CA | Yes |
Addresses
Primary practice location
1262 E North St
Manteca, CA 95336
Mailing address
334 Northgate Dr
Manteca, CA 95336-3139
Phone (209) 642-8079
Other practice location 1
165 Saint Dominics Dr
Suite #201
Manteca, CA 95337-7802
Phone (209) 239-0120
Other practice location 2
334 Northgate Dr
Manteca, CA 95336-3139
Phone (209) 642-8079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A694260 | Medicaid | CA |
Other providers in Manteca, CA
- Angela French
- Christine Ann Frey
- Anita Freyman-Danielsen
- Jackie Friedrikson
- G.O.a.L.S. Success Pad Inc
- Nathaniel Fajardo Galang Jr.
- Theresa Christine Galano-Olguin
- Richard Galeazzi
- Galen Inpatient Physicians, PC
- Samuel Antonio Galicia
All providers in Manteca, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.