NATHANIEL FAJARDO GALANG JR. (NPI# 1467702043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467702043 |
| Entity Type | Individual |
| Full Name | NATHANIEL FAJARDO GALANG JR. |
| Credential | NP-C |
| Practice Address |
165 Saint Dominics Dr Ste 201 Manteca CA 95337-7802 |
| Practice Telephone | 2092390120 |
| Practice Fax Number | 2092390102 |
| Mailing Telephone | 2092390120 |
| Mailing Fax Number | 2092390102 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19703 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
165 SAINT DOMINICS DR STE 201 |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465710 | Randall Kelvin Yee | Internal Medicine | 165 Saint Dominics Dr, Suite #201, Manteca, CA 95337-7802 | 2005-11-23 |
| 1881002442 | John C. Trueb, Dds | Dentist | 165 Saint Dominics Dr, Suite 100, Manteca, CA 95337-7802 | 2014-07-28 |
| 1265873384 | Jeffrey John Becker | Dentist | 165 Saint Dominics Dr, Ste 100, Manteca, CA 95337-7802 | 2013-07-17 |
| 1336324458 | Randall K. Yee Md, A Professional Medical Corporation | Internal Medicine | 165 Saint Dominics Dr, Ste. #201, Manteca, CA 95337-7802 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528575461 | Harpreet Dhaliwal | Nurse Practitioner | 1341 Historical Plaza Way, Manteca, CA 95336-5064 | 2017-12-31 |
| 1710510326 | Bryan Cabconce Coronel | Nurse Practitioner | 1341 Historical Plaza Way, Manteca, CA 95336-5064 | 2020-02-21 |
| 1891250197 | Paola Velosa | Nurse Practitioner | 1262 E North St, Manteca, CA 95336 | 2019-01-31 |
| 1467819128 | Joselyn M Johnson | Nurse Practitioner | 296 Cottage Ave, Manteca, CA 95336-4942 | 2016-01-25 |
| 1063688299 | Renee Jeanne Lee | Nurse Practitioner | 1234 E North St, Suite 102, Manteca, CA 95336-4960 | 2008-05-07 |
| 1386818797 | Deanna Tina Leamon | Nurse Practitioner | 965 E Yosemite Ave, Ste 2, Manteca, CA 95336-5938 | 2008-04-16 |
| 1386821452 | Linda L Pickhartz | Nurse Practitioner | 1262 E North St, Manteca, CA 95336-4962 | 2008-01-30 |
| 1497775902 | Rhonda M. Brazil | Nurse Practitioner | 1140 Norman Dr, Manteca, CA 95336-5900 | 2006-07-20 |
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|---|---|---|---|---|
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| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.