Samuel Antonio Galicia, M.D.
NPI 1104238104ActiveIndividual· Internal Medicine· Manteca, CA
Internal Medicine (M.D.) with Permanente Medical Group Inc, practicing in Manteca, California. Their prescriptions cost Medicare Part D more than their services did: $257,075 for 6,209 claims, against $1,683 paid for services in 2024. Lists Kaiser Foundation Hospital Manteca as a hospital affiliation.
Overview
| NPI | 1104238104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 24, 2014 |
| Last updated in NPPES | Dec 17, 2021 |
| Certified by provider | Dec 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A145065 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 38 across 6 procedure codes |
| Paid by Medicare | $1,683 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,209 · 14,825 30-day fills |
|---|---|
| Patients | 786 |
| Total drug cost | $257,075 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Hospital affiliation
- Kaiser Foundation Hospital MantecaManteca, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 internal medicine physicians in Manteca · All internal medicine physicians in California