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

Samuel J Gallo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548013204

Samuel J Gallo, DO is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Bodin Cir
Fairfield, CA 94535-1809
Phone: (707) 423-7208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 1548013204 (WI)

Record details

NPI number1548013204
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 10, 2024
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address101 Bodin Cir, Fairfield, CA 94535-1809

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