LUIS CRISTOBAL-GALLARDO (NPI# 1477027530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477027530 |
| Entity Type | Individual |
| Full Name | LUIS CRISTOBAL-GALLARDO |
| Practice Address |
103 E Main St Ripon CA 95366-2416 |
| Mailing Address |
4660 Spyres Way Modesto CA 95356-9804 |
| Practice Telephone | 2092530740 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
PT292596 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 Spyres Way, Modesto, CA 953569804 | 2095783290 |
| Street Address |
103 E MAIN ST |
| City | RIPON |
| State | CA |
| Zip Code | 95366-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699148387 | John Ebster | Physical Therapy Assistant | 103 E Main St, Ripon, CA 95366-2416 | 2015-11-04 |
| 1033582960 | Sharon Ann Lee | Physical Therapist | 103 E Main St, Ripon, CA 95366-2416 | 2015-10-30 |
| 1376979591 | Theresa Ann Shark | Physical Therapist | 103 E Main St, Ripon, CA 95366-2416 | 2013-09-19 |
| 1952511461 | Xcel Orthopaedic Physical Therapy | Physical Therapist | 103 E Main St, Ripon, CA 95366-2416 | 2007-05-23 |
| 1093931503 | Devra Anne Bommarito | Physical Therapist | 103 E Main St, Ripon, CA 95366-2416 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1760036305 | Llanell Vararaj Dental Inc | Clinic/Center | 102 South Walnut Avenue, Rippon, CA 95366 | 2019-08-01 |
| 1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
| 1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| 1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
| 1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
| 1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
| 1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
| 1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
| Find all providers in zip 95366 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
| 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.