Organization Active NPI

Abalos-Galito Medical Service

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1982890018
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A78499 Issued in CA
Legal business name
ABALOS-GALITO MEDICAL SERVICE
Practice address
2593 S King Rd Ste 11
San Jose, CA 95122-1880
Phone
(408) 274-2880
Fax
(408) 274-5166
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Marietta Florence Abalos-Galito, M.D.NPI 1437277092
Title
Chairman
Phone
(408) 416-7551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A78499 CA Primary

Addresses

Primary practice location

2593 S King Rd Ste 11
San Jose, CA 95122-1880

Mailing address

3111 Andora Dr
San Jose, CA 95148-1202
Phone (408) 416-7551

Other identifiers 1

IdentifierTypeStateIssuer
00A78499MedicaidCA

National Provider Directory

National Provider Directory

Locations

2593 S King Rd
Ste 11
San Jose, CA 95122
Phone (408) 274-2880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1982890018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ANDORA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951481202",
            "telephone_number": "408-416-7551",
            "fax_number": "408-238-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 S KING RD STE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221880",
            "telephone_number": "408-274-2880",
            "fax_number": "408-274-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABALOS-GALITO MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "ABALOS-GALITO",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "408-416-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A78499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.