NPIMap

Individual provider Active NPI

M Jacqueline Galang, MD

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1972586097
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
Practice address
1262 E North St
Manteca, CA 95336
Phone
(209) 239-0120
Fax
(209) 239-0102
NPI assigned
Nov 22, 2005
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000137 CA Practitioner - Internal Medicine 7315981511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
M. Jacqueline Galang Inc. Internal Medicine CurrentSince Jun 1, 2002 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations

1262 E North St
Manteca, CA 95336
Phone (209) 823-7646

165 Saint Dominics Dr
Ste 201
Manteca, CA 95337
Phone (209) 239-0120

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mgalang15143@hpmg.direct-ci.net

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1972586097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NORTHGATE DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363139",
            "telephone_number": "209-642-8079",
            "fax_number": "209-239-3408"
        },
        {
            "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 Saint Dominics Dr",
            "address_2": "Suite #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"
        },
        {
            "address_1": "334 Northgate Dr",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953363139",
            "country_code": "US",
            "telephone_number": "209-642-8079",
            "fax_number": "209-239-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALANG",
        "first_name": "M JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.