1861417057 NPI number — MIGUEL SEBASTIAN GALINDO MD

Table of content: MIGUEL SEBASTIAN GALINDO MD (NPI 1861417057)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861417057 NPI number — MIGUEL SEBASTIAN GALINDO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GALINDO
Provider First Name:
MIGUEL
Provider Middle Name:
SEBASTIAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GALINDO
Provider Other First Name:
MICHAEL
Provider Other Middle Name:
SEBASTIAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861417057
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 ATHERTON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAYLERSVILLE
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-953-0871
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1020 ATHERTON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLERSVILLE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-408-5482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0002X , with the licence number:  7693740-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , with the licence number: 7693740-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A843560 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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