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Export Provider Record NPI 1245577279
Menalin P GanalDO
Active
NPI Number1245577279
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1245577279
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-01-10
Last Updated2026-03-09
Mailing Address3400 Data Dr
Rancho Cordova, CA 95670-7956
United States
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Primary Practice Address9394 Big Horn Blvd
Elk Grove, CA 95758-7977
United States
Phone: (916) 691-8500 | Fax: (916) 691-8589
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No390200000X – Student in an Organized Health Care Education/Training ProgramVA0116025434
Yes207Q00000X – Family MedicineCA20A13851
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About NPI 1245577279

Menalin P Ganal DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1245577279. The primary specialty listed is Family Medicine. The provider is located in Elk Grove, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-01-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1245577279?

NPI 1245577279 belongs to Menalin P Ganal DO, a Family Medicine in Elk Grove, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1245577279 active?

The current status of NPI 1245577279 in the NPPES registry is Active. The record was last updated on 2026-03-09.

What specialty is NPI 1245577279?

NPI 1245577279 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1245577279?

You can verify NPI 1245577279 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1245577279?

The primary practice address on file for NPI 1245577279 is 9394 Big Horn Blvd, Elk Grove, CA 95758-7977. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1245577279 issued?

NPI 1245577279 was first issued (enumerated) on 2013-01-10. The NPPES record was last updated on 2026-03-09.

Practice Location Map

Menalin P Ganal is located at 9394 Big Horn Blvd, Elk Grove, CA. Use the map below to find directions or verify the practice location.

📍 9394 Big Horn Blvd, Elk Grove, CA 95758-7977  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Menalin P Ganal. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1245577279. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Student in an Organized Health Care Education/Training Program0116025434VA
Family Medicine20A13851CA
Data Verified from CMS NPPES Last synced: 2026-07-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162