ANTHONY PANGALLO (NPI# 1669856423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669856423 |
| Entity Type | Individual |
| Full Name | ANTHONY PANGALLO |
| Practice Address |
704-385 Bangham Ln Susanville CA 96130-8602 |
| Mailing Address |
Po Box 1811 Susanville CA 96130-1811 |
| Practice Telephone | 5303105542 |
| Mailing Telephone | 5303105542 |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2015-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
704-385 BANGHAM LN |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609413756 | Peggy Anne Vaquera | Counselor | 55 N Union St Ste C, Susanville, CA 96130-3986 | 2019-12-09 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1801933486 | William Harry Graf | Counselor | 686-700 Hwy.36, Susanville, CA 96130-0444 | 2007-01-31 |
| 1629044045 | Karen L. Dieter Kapphahn | Counselor | 1816 1st St, Susanville, CA 96130-4561 | 2006-02-25 |
| 1649671835 | Mark Sabo | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2014-09-08 |
| 1811301732 | Rebecca Reyes | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2014-06-18 |
| 1295076354 | Robert Logan Stiles | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2013-03-13 |
| 1386903532 | Jamin Zywiciel | Counselor | 555 Hospital Ln, Susanville, CA 96130 | 2012-05-09 |
| 1508028697 | Felicia Melody Sampson | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2008-06-30 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on ANTHONY PANGALLO.
| 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.