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

Samuel Antonio Galicia, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104238104

Samuel Antonio Galicia, MD is an Internal Medicine in Manteca, California. Qualified in 1999, 27 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1721 W Yosemite Ave
Manteca, CA 95337-5130
Phone: (209) 825-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Guion Pl, New Rochelle, NY 10801-5502 — (914) 365-3680

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A145065 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104238104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2014
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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