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MRS. KATHLEEN EMILIE GALLAHER M.D.
NPI 1114034808
Family Medicine in Villa Park, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1010073 · Waiver
17871 SANTIAGO BLVD, SUITE 206 FIRST FLOOR, VILLA PARK, CA 92861(714) 974-1362(714) 974-3145 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kathleen Emilie Gallaher M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN EMILIE GALLAHER M.D. (NPI 1114034808) is an individual family medicine provider in Villa Park, California, licensed in California (A40219) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 4, 2027, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114034808
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. KATHLEEN EMILIE GALLAHERCredential: M.D.
Location Address17871 SANTIAGO BLVD, SUITE 206 FIRST FLOORVilla Park, CA 92861-4141
Mailing Address17871 Santiago Blvd, Suite 206 First FloorVilla Park, CA 92861-4141 · (714) 974-1362 · Fax (714) 974-3145
Phone(714) 974-1362
Fax(714) 974-3145
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1114034808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A40219
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17871 SANTIAGO BLVD, Villa Park, CA 92861
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Other Identifiers 2

OtherP00004108CA · Railroad Medicare
Other05D1010073Clia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathleen Emilie Gallaher M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870757073
PECOS Enrollment IDI20120620000386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1010073

Kathleen Emilie Gallaher MD · Villa Park, CA
Active · expires Mar 4, 2027
CLIA Number05D1010073
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorKathleen E. Gallaher MD
Laboratory Phone(714) 998-3031
Laboratory LocationKathleen Emilie Gallaher MD17871 Santiago Blvd,suite 206, Villa Park, CA 92861
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
38 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92861 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM N. LANGSTAFF, D.M.D.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
17871 SANTIAGO BLVD, SUITE 228
VILLA PARK, CA 92861
Orange County (714) 637-9270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Gallaher's NPI number?

The NPI number for Kathleen Gallaher is 1114034808. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kathleen Gallaher located?

Kathleen Gallaher practices at 17871 Santiago Blvd Suite 206 First Floor, Villa Park, CA 92861. The listed phone number is (714) 974-1362.

What is Kathleen Gallaher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Gallaher enrolled in Medicare?

Yes. Kathleen Gallaher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Kathleen Gallaher hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1010073) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathleen Gallaher was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.