ANDRE GALLARES (NPI# 1093018764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
6645 ALVARADO RD SUITE 4000 |
City | SAN DIEGO |
State | CA |
Zip Code | 92120-5208 |
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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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 |
Find all providers in zip 92120 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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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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.