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DR. ITZI ERANDI SABANERO GALLARDO MD
NPI 1790537702
Student in an Organized Health Care Education/Training Program in Kennewick, WA

Active since April 03, 2024PECOS Enrolled
521 N YOUNG ST, KENNEWICK, WA 99336(509) 221-5965 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2024, Apr 8, 2024, Apr 3, 2024 (3 updates tracked since 2024).

About Dr. Itzi Erandi Sabanero Gallardo Md NPPES

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

DR. ITZI ERANDI SABANERO GALLARDO MD (NPI 1790537702) is an individual student in an organized health care education/training program in Kennewick, Washington and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790537702
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ITZI ERANDI SABANERO GALLARDOCredential: MD
Location Address521 N YOUNG STKennewick, WA 99336-7806
Mailing AddressPo Box 4225West Richland, WA 99353-4003 · (509) 518-9230
Phone(509) 221-5965
Sole ProprietorYes
Enumeration DateApril 3, 2024
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1790537702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
521 N YOUNG ST, Kennewick, WA 99336
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Itzi Erandi Sabanero Gallardo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MATTHEW KLATT
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5965
HIGH DESERT SURGERY CENTER, L.L.C.
Clinic/Center (Ambulatory Surgical)
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 586-2828
HETAL THAKOR DO
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5965
JENNIFER FOLLWELL DO
Family Medicine
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5222
LYDIA SMITH DO
Student in an Organized Health Care Education/Training Program
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 221-5965
KMJ ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 736-2770
ELLEN T ANG M.D.
Specialist
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 585-5222
TABITHA C LUSTIG NP
Nurse Practitioner (Family)
521 N YOUNG ST
KENNEWICK, WA 99336
Benton County (702) 896-2595

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 Itzi Sabanero Gallardo's NPI number?

The NPI number for Itzi Sabanero Gallardo is 1790537702. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Itzi Sabanero Gallardo located?

Itzi Sabanero Gallardo practices at 521 N Young St, Kennewick, WA 99336. The listed phone number is (509) 221-5965.

What is Itzi Sabanero Gallardo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Itzi Sabanero Gallardo enrolled in Medicare?

Yes. Itzi Sabanero Gallardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Itzi Sabanero Gallardo was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.