MISS BONNIE JO GALLEGOS (NPI# 1063502110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063502110 |
| Entity Type | Individual |
| Full Name | MISS BONNIE JO GALLEGOS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
975 Sereno Dr Kaiser Permanente Vallejo Medical Center Vallejo CA 94589-2441 |
| Mailing Address |
945 Sereno Drive Vallejo CA 94589-2485 |
| Practice Telephone | 7076511031 |
| Mailing Telephone | 7076511031 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
510448 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
975 SERENO DR KAISER PERMANENTE VALLEJO MEDICAL CENTER |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940620 | James A Carolan | Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2005-05-31 |
| 1386243483 | Chrismichael C Caniaveral | Pulmonary Function Technologist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-10-20 |
| 1598376188 | Justin Parungao Vallarta | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-08-16 |
| 1083232524 | Jeremy Cobb Mutter | Respiratory Therapist, Certified | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-07-10 |
| 1083230361 | Rabeea Abbas | Orthopaedic Surgery | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-06-22 |
| 1518588490 | Claudia S Vanover | Radiology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-05-01 |
| 1013536937 | Nicole Anne Madrilejo | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-10 |
| 1457970527 | Sean N Ryan | Physical Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-09 |
| 1528687787 | Natalie Sukie White | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-04-08 |
| 1801423223 | Jacqueline Yu | Student in an Organized Health Care Education/Training Program | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820525 | Jaymijah Marie Means | Nurse Practitioner | 149 Pacific Ct, Vallejo, CA 94589-2174 | 2019-06-20 |
| 1588071179 | Lichelle Nucum Lum | Nurse Practitioner | 100 Hospital Dr Ste 110, Vallejo, CA 94589-2577 | 2014-07-16 |
| 1407260722 | Christine J Romano | Nurse Practitioner | 754 S Regatta Dr, Vallejo, CA 94591-6944 | 2014-06-13 |
| 1225376197 | Jalynne None Sousa | Nurse Practitioner | 3431 Broadway, Vallejo, CA 94592-1189 | 2013-01-28 |
| 1316211576 | Suzanne Elizabeth Spillner | Nurse Practitioner | 33 Marina Ridge Ct, Vallejo, CA 94591-6429 | 2012-03-05 |
| 1902029879 | Christine Smith | Nurse Practitioner | 200 Maritime Academy Dr, Vallejo, CA 94590-8181 | 2007-04-10 |
| 1407890320 | Luz Maria Hernandez | Nurse Practitioner | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2006-06-15 |
| 1649893660 | Stacyann Andaya | Nurse Practitioner | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2020-05-26 |
| 1700433604 | Karla Bailey | Nurse Practitioner | 243 Georgia St, Vallejo, CA 94590-5905 | 2019-08-25 |
| 1528561610 | Cynthia Loretta Mcbride | Nurse Practitioner | 506 Couch St, Vallejo, CA 94590-2408 | 2018-03-14 |
| Find all providers in VALLEJO | ||||
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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.