ANDRE GALLARES


Address: 6645 Alvarado Rd, Suite 4000, San Diego, CA 92120-5208
Phone: 6192294901

ANDRE GALLARES (NPI# 1093018764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093018764
Entity Type Individual
Full Name ANDRE GALLARES
Credential PA-C
Practice Address 6645 Alvarado Rd
Suite 4000
San Diego
CA 92120-5208
Practice Telephone 6192294901
Practice Fax Number 6192294938
Enumeration Date 2010-12-17
Last Update Date 2010-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA21239 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6645 ALVARADO RD
SUITE 4000
City SAN DIEGO
State CA
Zip Code 92120-5208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699741645 Patrick Anthony Delaney Psychiatry & Neurology 6645 Alvarado Rd, Suite 229, San Diego, CA 92120-5208 2006-02-28
1548734577 Steven Edward Keller Physical Therapist 6645 Alvarado Rd, San Diego, CA 92120 2019-01-12
1609146661 Regional Head & Neck Surgical Associates Otolaryngology 6645 Alvarado Rd, Ste 4000, San Diego, CA 92120-5208 2012-01-09
1235407685 San Diego Regional Head & Neck Center Otolaryngology 6645 Alvarado Rd, Ste 4000, San Diego, CA 92120-5208 2011-12-13
1649570284 Cheryl Emily Kyinn Physician Assistant 6645 Alvarado Rd, Suite 415, San Diego, CA 92120-5208 2010-10-29
1962716183 Tracy Mejia Sebastian Physician Assistant 6645 Alvarado Rd, San Diego, CA 92120-5208 2010-07-29
1407181035 Brigitte Korkuch Physician Assistant 6645 Alvarado Rd, Ste 415, San Diego, CA 92120-5208 2009-10-15
1245471853 Bryna Elizabeth Florence Physician Assistant 6645 Alvarado Rd, Suite 415, San Diego, CA 92120-5208 2009-03-11
1780822213 San Diego Neuro Trauma Associates, Inc. Neurological Surgery 6645 Alvarado Rd, Suite 4000, San Diego, CA 92120-5208 2009-01-21
1922264845 Hussein Abdulhadi, Md Pain Medicine 6645 Alvarado Rd, Suite 253, San Diego, CA 92120-5208 2008-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477932978 Mobile Wound Care Physician Assistant Corporation Physician Assistant 2028 31st St, San Diego, CA 92104-5632 2015-05-29
1437454220 Peter Deane Houston Physician Assistant 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 2011-01-25
1720288087 Laura Ruth Duffy Physician Assistant 1643 6th Ave, #204, San Diego, CA 92101-2757 2007-07-24
1861539348 Norman K Moser Physician Assistant 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 2007-01-31
1538214515 Shaun D Young Physician Assistant 8901 Activity Road, San Diego, CA 92126 2007-01-23
1174612170 Jonathan Wu Physician Assistant 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 2006-10-11
1982798112 Virginia Ann Floco Physician Assistant 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 2006-10-03
1366464471 Colleen Gustafson Espenschied Physician Assistant 2017 1st Ave, San Diego, CA 92101-2033 2006-07-25
1396719779 Brian Joseph O'neill Physician Assistant 11532 Village Ridge Rd, San Diego, CA 92131-3905 2006-02-14
1619974623 Kimberlee J Knox Physician Assistant 3307 4th Ave, San Diego, CA 92103-5703 2005-07-05
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Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.

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