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FRED GALLUCCIO MD & ASSOC INC
NPI 1437267648
Family Medicine in Newport Beach, CA

Active since August 28, 2006CLIA 05D0712088 · Microscopy
901 DOVER DR, STE 102, NEWPORT BEACH, CA 92660(949) 646-4865(949) 646-7716 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fred Galluccio Md & Assoc Inc NPPES

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

FRED GALLUCCIO MD & ASSOC INC (NPI 1437267648) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Fred J Galluccio, Owner, as its authorized official.

NPPES Registry Identity

NPI1437267648
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFRED GALLUCCIO MD & ASSOC INC
Location Address901 DOVER DR, STE 102Newport Beach, CA 92660-5538
Mailing Address901 Dover Dr, Ste 102Newport Beach, CA 92660-5538 · (949) 646-4865 · Fax (949) 646-7716
Phone(949) 646-4865
Fax(949) 646-7716
Organization SubpartNo
Authorized OfficialFred J GalluccioOwner · (949) 646-4865
Enumeration DateAugust 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437267648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
901 DOVER DR, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fred Galluccio Md & Assoc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110314000892Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fred Galluccio MD & Assoc Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Fred Galluccio, M.D.
Family Practice
NPI 1104934397
901 DOVER DR STE 102
Newport Beach, CA 92660
(949) 646-4865
✔ PECOS✔ Accepts MedicareSame address
Paul Eisman, MD
Family Practice
NPI 1285639773
2925 N. PALO VERDE
Long Beach, CA 90815
(562) 429-2473
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0712088

Fred Galluccio MD & Assoc Inc · Newport Beach, CA
Active · expires Aug 31, 2028
CLIA Number05D0712088
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorFred J. Galluccio
Laboratory Phone(949) 646-4865
Laboratory LocationFred Galluccio MD & Assoc Inc901 Dover Drive Suite 102, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Fred Galluccio MD & Assoc Inc's NPI number?

The NPI number for Fred Galluccio MD & Assoc Inc is 1437267648. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Fred Galluccio MD & Assoc Inc located?

Fred Galluccio MD & Assoc Inc is located at 901 Dover Dr Ste 102, Newport Beach, CA 92660. The listed phone number is (949) 646-4865.

What is Fred Galluccio MD & Assoc Inc's specialty?

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

Is Fred Galluccio MD & Assoc Inc enrolled in Medicare?

Yes. Fred Galluccio MD & Assoc Inc is registered in the Medicare PECOS enrollment system.

When is Fred Galluccio MD & Assoc Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fred Galluccio MD & Assoc Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Fred Galluccio MD & Assoc Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fred Galluccio MD & Assoc Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0712088) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Galluccio MD & Assoc Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.