DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) – Family Nurse Practitioner, NPI 1407120082

DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) is a healthcare provider. based in Fairfield, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PHD, MBA, FNP-BC. They hold a License No. 20489 (CA). The NPI Number for DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) is 1407120082

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC)
NPI
1407120082
Phone
(707) 646-5618
Address
1200 B GALE WILSON BLVD
Enumeration Date
29 February 2012
Last Update Date
27 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
76556430162002
Graduation Year
2008 (18 years ago)
PAC ID
3577881143
Group Practice PAC ID
2567373012
Professional Enrollment ID
I20230918001518
Address ID
IN469231759DE901XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC)

  • 1200 B GALE WILSON BLVD

    FAIRFIELD, CA 945333552

    Phone: (707) 646-5618

    Type: Mailing

  • 901 PRINCE WILLIAM RD STE A

    DELPHI, IN 469231759

    Phone: (765) 564-3016

    Type: Location

  • 1101 Lambsdowne Ln

    West Lafayette, IN 47096

    Phone: (707) 628-5989

    Type: Location

  • 755 WEST CARMEL DRIVE, SUITE 212

    CARMEL, IN 460323552

    Phone: (317) 229-6239

    Type: Location

  • 1101 LAMBSDOWNE LN

    WEST LAFAYETTE, IN 47096

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($31).

Total Amount

$80

General + Research + Ownership

Payments

5

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230918001518INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94533)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567373012View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerMI
Nurse PractitionerIN
Nurse PractitionerIN
Qualified AudiologistIN
Nurse PractitionerIN
Qualified AudiologistIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the registry number for DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC)?
The registry entry for DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) shows NPI 1407120082.
Quick check: is DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) active?
Public NPPES data shows DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) with an active NPI status right now.
What services align with DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC)'s listing?
DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC) in Fairfield, California?
For routing, start with Fairfield, California for DR. JULIAN LEANDRO GALLEGOS (PHD, MBA, FNP-BC), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.