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

Conner Gallagher

Individual provider Family Nurse Practitioner · NPI 1386217883

Conner Gallagher is a Nurse Practitioner in Riverside, California. Qualified in 2021, 5 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

6859 Magnolia Ave Ste 1
Riverside, CA 92506-2866
Phone: (951) 824-7887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017701 (CA)

Record details

NPI number1386217883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address36459 Rhubarb Ct, Winchester, CA 92596-8693

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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