FRED JAMES GALLUCCIO M.D. (NPI# 1073702643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073702643 |
| Entity Type | Organization |
| Organization Name | FRED JAMES GALLUCCIO M.D. |
| Practice Address |
901 Dover Dr Ste 102 Newport Beach CA 92660-5514 |
| Practice Telephone | 9496464865 |
| Practice Fax Number | 9496467716 |
| Mailing Telephone | 9496464865 |
| Mailing Fax Number | 9496467716 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | MONIKA M GALLUCCIO (SECRETARY) |
| Authorized Official Telephone | 9496464865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP NUMBER | W16599 | 01 |
| Street Address |
901 DOVER DR STE 102 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049351 | Npb Medical Group, P.C. | Family Medicine | 4000 Macarthur Blvd Ste 1025, Newport Beach, CA 92660-2542 | 2020-03-25 |
| 1902462732 | David Mir Md | Family Medicine | 3300 W Coast Hwy Ste C, Newport Beach, CA 92663-4025 | 2019-05-16 |
| 1649617804 | Health and Skin Fusion, Inc | Family Medicine | 363 San Miguel Dr, Suite 260, Newport Beach, CA 92660-7892 | 2013-05-29 |
| 1518209121 | Donald Robert Spitz | Family Medicine | 219 Via Lido Soud, Newport Beach, CA 92663-4613 | 2013-03-21 |
| 1134486921 | Yeral Patel | Family Medicine | 4700 Von Karman Ave Ste 1000, Newport Beach, CA 92660-2194 | 2012-04-18 |
| 1861783029 | Lawrence David Freedman | Family Medicine | 2110 Yacht Mischief, Newport Beach, CA 92660-6714 | 2011-04-22 |
| 1952601452 | Ernest R. Williams | Family Medicine | 2018 Barranca, Newport Beach, CA 92660-4528 | 2010-10-30 |
| 1922325315 | Ewa B Farrelly | Family Medicine | 351 Hospital Rd Ste 406, Newport Beach, CA 92663-3506 | 2010-04-26 |
| 1952543316 | Michael Jack Grossman, M.d., Inc | Family Medicine | 4440 Von Karman Ave, Suite 201, Newport Beach, CA 92660 | 2009-04-01 |
| 1063663177 | Norman Curtis Myers | Family Medicine | 433 Vista Flora, Newport Beach, CA 92660-4014 | 2008-10-07 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.