GALLEGO PLASTIC SURGERY MEDICAL GROUP, INC. (NPI# 1629127196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629127196 |
| Entity Type | Organization |
| Organization Name | GALLEGO PLASTIC SURGERY MEDICAL GROUP, INC. |
| Practice Address |
4050 Barranca Pkwy Ste 220 Irvine CA 92604-1723 |
| Mailing Address |
Po Box 218 Orange CA 92856-6218 |
| Practice Telephone | 8773890368 |
| Practice Fax Number | 9495026501 |
| Mailing Telephone | 7149350073 |
| Mailing Fax Number | 7149350075 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KELLY MATTHEW GALLEGO (PRESIDENT) |
| Authorized Official Telephone | 7149350073 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A84081 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4050 BARRANCA PKWY STE 220 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922354281 | Ali Anwaar Qureshi | Plastic Surgery | 4968 Booth Cir Ste 105, Irvine, CA 92604-3366 | 2012-07-24 |
| 1124267810 | Michael Jay Kamper | Plastic Surgery | 8 Sandpebble, Irvine, CA 92603-3424 | 2009-02-19 |
| 1831343987 | Eleonore Zetrenne Md Inc | Plastic Surgery | 4716 Barranca Pkwy, Irvine, CA 92604-4729 | 2008-11-14 |
| 1821290560 | Behrooz B Kalantarian | Plastic Surgery | 25 Palatine, Suite 230, Irvine, CA 92612-7605 | 2007-06-04 |
| 1558414227 | Chadwick Wu | Plastic Surgery | 15825 Laguna Canyon Rd Ste 105, Irvine, CA 92618-2126 | 2007-01-18 |
| 1174592778 | Andrew Donald Smith | Plastic Surgery | 18 Endeavor Ste 102, Irvine, CA 92618-3180 | 2006-03-16 |
| 1265414627 | Robert Evan Tuchler | Plastic Surgery | 6670 Alton Pkwy, Sand Canyon Medical Office, Suite 4110, Irvine, CA 92618-3734 | 2005-11-18 |
| 1134125586 | Mark E Krugman | Plastic Surgery | 16300 Sand Canyon Ave #1011, Irvine, CA 92618 | 2005-06-21 |
| 1730555764 | Mark E. Krugman, M.d. Inc. | Plastic Surgery | 16300 Sand Canyon Avenue, Suite 1011, Irvine, CA 92618-3710 | 2015-08-13 |
| 1750771630 | Joyce C. Chen, Md, PC | Plastic Surgery | 15825 Laguna Canyon Rd, Suite 208, Irvine, CA 92618-2125 | 2015-01-29 |
| Find all providers in IRVINE | ||||
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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.