Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andre Gallares, PA-C

Individual provider Surgical Physician Assistant · NPI 1093018764

Andre Gallares, PA-C is a Surgical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6645 Alvarado Rd Ste 4000
San Diego, CA 92120-5208
Phone: (619) 229-4901
Fax: (619) 229-4938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA21239 (CA)

Record details

NPI number1093018764
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2010
Last updated in NPPESDecember 17, 2010

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