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

Samantha Jo Gallo, PA

Individual provider Medical Physician Assistant · NPI 1114574084

Samantha Jo Gallo, PA is a Medical Physician Assistant in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

1245 E Herndon Ave
Fresno, CA 93720-3235
Phone: (559) 664-4000
Fax: (559) 675-5224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60382 (CA)

Record details

NPI number1114574084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 24, 2019
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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