Mr Andre V Gallardo, OTR, PA is a medicare enrolled "Physician Assistant" provider in Whittier, California. His current practice location is
16200 Amber Valley Dr, Whittier, California. You can reach out to his office (for appointments etc.) via phone at
(562) 943-7125.
Mr Andre V Gallardo is licensed to practice in California (license number 19169) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871708859.
Healthcare Provider's Profile
Full Name | Mr Andre V Gallardo |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 16200 Amber Valley Dr, Whittier, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871708859
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 03/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890759831
- Enrollment ID: I20090120000066
Medical Identifiers
Medical identifiers for Mr Andre V Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871708859 | NPI | - | NPPES |
19169 | Other | CA | PHYSICIAN'S ASSISTANT |
OT 4374 | Other | CA | OCCUPATIONAL THERAPIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 4374 (California) | Secondary |
363A00000X | Physician Assistant | 19169 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andre V Gallardo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Andre V Gallardo, OTR, PA 5551 Mossvale Cir, Huntington Beach, CA 92649-4824 Ph: (714) 206-9884 | Mr Andre V Gallardo, OTR, PA 16200 Amber Valley Dr, Whittier, CA 90604-4051 Ph: (562) 943-7125 |
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