Basic Information
Provider Information | |||||||||
NPI: | 1740210657 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | THOMPSON GALLEGO | ||||||||
FirstName: | JULIA | ||||||||
MiddleName: | ANNA | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | N.P., M.S.N. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | GALLETLY | ||||||||
OtherFirstName: | JULIA | ||||||||
OtherMiddleName: | ANNA | ||||||||
OtherNamePrefix: | MS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 2982 MARLBORO WAY | ||||||||
Address2: |   | ||||||||
City: | SAN RAMON | ||||||||
State: | CA | ||||||||
PostalCode: | 945832737 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9257861127 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 1001 POTRERO AVENUE, DEPT. OF NEUROSURGERY | ||||||||
Address2: | SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER | ||||||||
City: | SAN FRANCISCO | ||||||||
State: | CA | ||||||||
PostalCode: | 941103594 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4152063219 | ||||||||
FaxNumber: | 4155024985 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/04/2006 | ||||||||
LastUpdateDate: | 02/06/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | RN536368 | CA | N |   | Nursing Service Providers | Registered Nurse | Medical-Surgical | 363LA2100X | NP15870 | CA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.