LARISA GALLO (NPI# 1013256833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013256833 |
| Entity Type | Individual |
| Full Name | LARISA GALLO |
| Credential | PA-C |
| Practice Address |
900 Blake Wilbur Dr Palo Alto CA 94304-2201 |
| Practice Telephone | 6504986004 |
| Mailing Telephone | 6504986004 |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA52481 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056002 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 BLAKE WILBUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227182 | Neha S Shah | Internal Medicine | 900 Blake Wilbur Dr, W2081, Palo Alto, CA 94304-2201 | 2005-07-06 |
| 1114576774 | Miles Garth Kotchevar | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2019-09-06 |
| 1417427469 | Elizabeth Avelar Freitas | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-12-03 |
| 1649751694 | Ashlie Miller | Genetic Counselor, MS | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-08-28 |
| 1649758905 | Madeline Graf | Genetic Counselor, MS | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-07-30 |
| 1235656182 | Julia Anne Bancroft | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304 | 2017-08-23 |
| 1881135002 | Jeffrey Richard Edwards | Speech-Language Pathologist | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2017-03-20 |
| 1598217267 | Hyeunsook Chon | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2016-10-28 |
| 1629522784 | Valentina Alexandrea Chadwick | Nurse Practitioner | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2016-08-06 |
| 1780055582 | Jaime Renee Rees | Nurse Practitioner | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734205 | Jeffrey Vuong Tran | Physician Assistant | 500 Pasteur Dr # Mc5221, Palo Alto, CA 94304-1048 | 2020-09-14 |
| 1386297323 | Jenica Law | Physician Assistant | 4253 Park Blvd, Palo Alto, CA 94306-4144 | 2019-07-18 |
| 1891350203 | Jordin Juker | Physician Assistant | 725 Welch Rd Fl 2, Palo Alto, CA 94304-1601 | 2019-05-01 |
| 1154882348 | Madelaine Claire Sibayan Bustos | Physician Assistant | 630 Los Robles Ave Apt 2, Palo Alto, CA 94306-3226 | 2019-03-29 |
| 1962753392 | Jennifer Barrett | Physician Assistant | 780 Welch Rd Rm Cj220d, Palo Alto, CA 94304-1516 | 2012-09-25 |
| 1033410550 | Amy M Bruce | Physician Assistant | 725 Welch Rd Rm 3554, Palo Alto, CA 94304-1601 | 2010-11-15 |
| 1861625121 | Sandra E. Valle | Physician Assistant | 211 Quarry Rd Ste 202, Palo Alto, CA 94304-1416 | 2009-09-02 |
| 1003830639 | Edward Hahm | Physician Assistant | 87 Encina Ave Fl 2, Palo Alto, CA 94301-2322 | 2006-07-27 |
| 1285695445 | Jaclyn Rene Bilello | Physician Assistant | 211 Quarry Rd Ste 305, Palo Alto, CA 94304-1416 | 2006-03-29 |
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| Find all providers in PALO ALTO | ||||
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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.