IndividualActive
Andre Gallares, PA-C
NPI 1093018764 · Surgical Physician Assistant · San Diego, CA
Provider details
- NPI number
- 1093018764
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA21239 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6645 Alvarado Rd
Suite 4000
San Diego, CA 92120-5208
Phone: (619) 229-4901
Fax: (619) 229-4938
Approximate (ZIP-level) locationGet directions
Mailing address
6645 Alvarado Rd
San Diego, CA 92120-5208
Registry dates
- Enumerated
- 2010-12-17
- Last updated
- 2010-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.