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

Mark Edward Gallegos, PA

Individual provider Physician Assistant · NPI 1649240722

Mark Edward Gallegos, PA is a Physician Assistant in San Diego, California. Qualified in 2002, 24 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
24
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15025 Innovation Dr
San Diego, CA 92128-3409
Phone: (858) 487-1800
Fax: (858) 784-5644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18490 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA756 (NV)

Record details

NPI number1649240722
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJune 19, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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