Active NPI
Gabriela Gallegos
- Case Manager/Care Coordinator
- Hanford, CA
National Provider Identifier
1982253498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- R1351650619
- Practice address
- 311 N Douty St
Hanford, CA 93230-3951 - Phone
- (559) 583-9300
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | R1351650619 | CA | Primary |
Addresses
Primary practice location
311 N Douty St
Hanford, CA 93230-3951
Mailing address
311 N Douty St
Hanford, CA 93230-3951
Phone (559) 583-9300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ggallegos@championsrecovery.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1351650619 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1982253498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303951",
"telephone_number": "559-583-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303951",
"telephone_number": "559-583-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "R1351650619",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ggallegos@championsrecovery.org",
"affiliation": "N",
"address_1": "311 N Douty St",
"city": "Hanford",
"state": "CA",
"country_code": "US",
"postal_code": "932303951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.