GARY MC CALLA


Address: 1165 Montgomery Drive, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4897
Phone: 7075221573

GARY MC CALLA (NPI# 1669416285) 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) 1669416285
Entity Type Individual
Full Name GARY MC CALLA
Credential M.D.
Practice Address 1165 Montgomery Drive
Santa Rosa Memorial Hospital
Santa Rosa
CA 95405-4897
Mailing Address 451 Aviation Blvd Ste 201
Santa Rosa
CA 95403-1055
Practice Telephone 7075221573
Mailing Telephone 7073242400
Enumeration Date 2006-06-15
Last Update Date 2007-07-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine G72049 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G720490 05

Office Location

Street Address 1165 MONTGOMERY DRIVE
SANTA ROSA MEMORIAL HOSPITAL
City SANTA ROSA
State CA
Zip Code 95405-4897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740405232 Alexander Amochaeu Specialist/Technologist, Other 1165 Montgomery Drive, Santa Rosa, CA 95402 2007-04-17
1730270489 Matthew John Haight Anesthesiology 1165 Montgomery Drive, Santa Rosa, CA 95405 2006-09-27
1306880463 David B Campell Emergency Medicine 1165 Montgomery Drive, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4897 2006-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
Find all providers in zip 95405

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184173239 Constance Dougherty Emergency Medicine 452 Pythian Rd, Santa Rosa, CA 95409-6349 2016-09-30
1801254594 St Jude Hospital Yorba Linda Emergency Medicine 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5451 2016-02-09
1194074542 John Daniel Spenst Emergency Medicine 607 Cherry St, Santa Rosa, CA 95404-4202 2012-08-30
1730235540 Jason Smith Day Emergency Medicine 301 Breeden St, Santa Rosa, CA 95409 2007-01-25
1427157262 Dawn H. Magdalin-betts Emergency Medicine 3250 Oak Farm Ln, Santa Rosa, CA 95401-4046 2006-09-21
1144261637 Stephen R Levinson Emergency Medicine Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405-4897 2006-06-08
1346224292 Edward Wilhelm Hard Jr. Emergency Medicine 3854 Rocky Point Way, Santa Rosa, CA 95404-7606 2005-12-05
1528512688 Sutter Bay Medical Foundation Emergency Medicine 3883 Airway Dr, Suite 120, Santa Rosa, CA 95403-1670 2016-08-06
1033555024 Christina Marie Goodwin Emergency Medicine 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405-4801 2013-05-16
1225387152 Sonali Patel Emergency Medicine 1165 Montgomery Dr, Santa Rosa, CA 95405 2012-09-06
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95405

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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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