{"schema":"gale.providerFacts/1","npi":"1689100018","url":"https://www.gale.care/providers/ca/salinas/andre-lamothe-dds-1689100018","factsUrl":"https://www.gale.care/npi/1689100018.json","markdownUrl":"https://www.gale.care/npi/1689100018.md","generatedAt":"2026-11-02T23:42:51.894Z","exportId":"elig-ca-20261023T221350Z","factsHash":"a763cd38e87e5c2d","factsChangedAt":"2026-10-23T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Andre Lamothe, DDS (NPI 1689100018) is listed in the NPPES registry with the specialty Oral and Maxillofacial Surgery (Dentist) in Salinas, CA, phone (831) 757-5291, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Andre Lamothe","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Andre Lamothe under NPI 1689100018, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":"DDS","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists the credential DDS for Andre Lamothe, DDS (NPI 1689100018), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Oral and Maxillofacial Surgery (Dentist)","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Andre Lamothe, DDS (NPI 1689100018) under the specialty Oral and Maxillofacial Surgery (Dentist), as of the registry file of Jun 8, 2026."},"registryStage":{"id":"registry-stage","value":"as-listed","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry does not list Andre Lamothe, DDS (NPI 1689100018) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2017,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1689100018 (Andre Lamothe, DDS) issued in 2017, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"not-sole-proprietor","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Andre Lamothe, DDS (NPI 1689100018) as not a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"Salinas","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in Salinas for Andre Lamothe, DDS (NPI 1689100018), as of the registry file of Jun 8, 2026."},"state":{"id":"state","value":"CA","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists a practice location in CA for Andre Lamothe, DDS (NPI 1689100018), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(831) 757-5291","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (831) 757-5291 as the practice phone for Andre Lamothe, DDS (NPI 1689100018), as of the registry file of Jun 8, 2026."}},"care":{},"insurance":{"rows":[{"id":"ins-healthnet-marketplace","value":{"payer":"healthnet","payerLabel":"Ambetter from Health Net","line":"marketplace","products":["DBP PPO CA Exchange - VAL"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-09-25","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-03-24","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Andre Lamothe, DDS (NPI 1689100018) for Ambetter from Health Net individual and family plans on Sep 25, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-uhc-commercial","value":{"payer":"uhc","payerLabel":"UnitedHealthcare","line":"commercial","products":["*National Options PPO 30","FEDVIP Dental PPO","Healthplex MAC PPO Network","National Options PPO 10","National Options PPO 25"],"accepts":true,"setting":"office"},"status":"confirmed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"medium","gate":"G3","sentence":"Listed: UnitedHealthcare's directory listed Andre Lamothe, DDS (NPI 1689100018) for UnitedHealthcare commercial plans on Oct 23, 2026. Gale checked 12 listings in this directory by hand on Oct 22, 2026; 6 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-medicare-medicare","value":{"payer":"medicare","payerLabel":"Original Medicare","line":"medicare","products":["Medicare Part B"],"accepts":false,"setting":null,"optOut":{"from":"2026-04-29","to":"2028-04-29"}},"status":"confirmed","source":"cms-medicare-optout","asOf":"2026-07-13","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-13","confidence":"high","gate":"G3","sentence":"Listed: CMS Medicare opt-out list lists Andre Lamothe, DDS (NPI 1689100018) as opted out of Original Medicare from Apr 29, 2026 to Apr 29, 2028 (record dated Jul 13, 2026, file of Sep 15, 2026). Medicare does not pay an opted-out clinician; you can still see them under a private contract and pay them directly. Gale checked 2 listings in this file by hand on Oct 22, 2026; none were wrong."},{"id":"ins-bsc-commercial","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"commercial","products":["1013_Commercial HMO","1015_ML Access+ HMO CAP","1016_ML Access+ HMO CAP","1035_ML Access+ HMO Med Prime CAP","1036_ML Access+ HMO Med Prime CAP","1072_CalPERS Access + HMO CAP","1082_ACO HMO ML CAP","1084_ACO HMO SG CAP"],"accepts":null,"setting":null},"status":"inferred","source":"blueshield-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:02Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Blue Shield of California's price file suggests Blue Shield of California pays Andre Lamothe, DDS (NPI 1689100018) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-bsc-marketplace","value":{"payer":"bsc","payerLabel":"Blue Shield of California","line":"marketplace","products":["1224_IFP ACO HMO","1228_IFP ACO HMO AI/AN"],"accepts":null,"setting":null},"status":"inferred","source":"blueshield-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:02Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Blue Shield of California's price file suggests Blue Shield of California pays Andre Lamothe, DDS (NPI 1689100018) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-ahf-medi-cal","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-19","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-18","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 19, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-19"}]},{"id":"ins-ahf-medicare-advantage","value":null,"status":"not-listed","source":"ahf-fhir-directory","asOf":"2026-09-15","checkedAt":"2026-10-22T14:57:40Z","staleAfter":"2027-03-14","confidence":"low","gate":"G3","sentence":"Not listed by AIDS Healthcare Foundation (PHP) Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in AIDS Healthcare Foundation (PHP)'s directory, file of Sep 15, 2026. That is not a no.","checkedSources":[{"source":"ahf-fhir-directory","asOf":"2026-09-15"}]},{"id":"ins-bsc-medi-cal","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Promise Health Plan Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-bsc-medicare-advantage","value":null,"status":"not-listed","source":"bsc-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T16:50:39Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Blue Shield of California Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in Blue Shield of California's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"bsc-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-caloptima-medi-cal","value":null,"status":"not-listed","source":"caloptima-fhir-directory","asOf":"2026-10-11","checkedAt":"2026-10-22T21:38:03Z","staleAfter":"2027-04-09","confidence":"low","gate":"G3","sentence":"Not listed by CalOptima Health Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in CalOptima Health's directory, file of Oct 11, 2026. That is not a no.","checkedSources":[{"source":"caloptima-fhir-directory","asOf":"2026-10-11"}]},{"id":"ins-calviva-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-21","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-19","confidence":"low","gate":"G3","sentence":"Not listed by CalViva Health Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Health Net's directory, file of Oct 21, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-21"}]},{"id":"ins-ccah-medi-cal","value":null,"status":"not-listed","source":"ccah-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T14:57:43Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Central California Alliance for Health Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Central California Alliance for Health's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"ccah-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-goldcoast-medi-cal","value":null,"status":"not-listed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Gold Coast Health Plan Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Gold Coast Health Plan's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"goldcoast-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-healthnet-medi-cal","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Health Net Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-healthnet-medicare-advantage","value":null,"status":"not-listed","source":"healthnet-fhir-directory","asOf":"2026-10-22","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-20","confidence":"low","gate":"G3","sentence":"Not listed by Wellcare by Health Net Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in Health Net's directory, file of Oct 22, 2026. That is not a no.","checkedSources":[{"source":"healthnet-fhir-directory","asOf":"2026-10-22"}]},{"id":"ins-hpsj-medi-cal","value":null,"status":"not-listed","source":"hpsj-fhir-directory","asOf":"2026-10-02","checkedAt":"2026-10-22T21:41:38Z","staleAfter":"2027-03-31","confidence":"low","gate":"G3","sentence":"Not listed by Health Plan of San Joaquin Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Health Plan of San Joaquin's directory, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"hpsj-fhir-directory","asOf":"2026-10-02"}]},{"id":"ins-iehp-marketplace","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-27","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-23","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) individual and family plans for Andre Lamothe, DDS (NPI 1689100018) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 27, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-27"}]},{"id":"ins-iehp-medi-cal","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-07-29","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-01-25","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Inland Empire Health Plan (IEHP)'s directory, file of Jul 29, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-07-29"}]},{"id":"ins-iehp-medicare-advantage","value":null,"status":"not-listed","source":"iehp-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T15:10:17Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Inland Empire Health Plan (IEHP) Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in Inland Empire Health Plan (IEHP)'s directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"iehp-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-kern-medi-cal","value":null,"status":"not-listed","source":"kern-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T15:04:08Z","staleAfter":"2027-04-07","confidence":"low","gate":"G3","sentence":"Not listed by Kern Family Health Care Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Kern Family Health Care's directory, file of Oct 9, 2026. That is not a no.","checkedSources":[{"source":"kern-fhir-directory","asOf":"2026-10-09"}]},{"id":"ins-lacare-medi-cal","value":null,"status":"not-listed","source":"lacare-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T15:06:55Z","staleAfter":"2027-04-17","confidence":"low","gate":"G3","sentence":"Not listed by L.A. Care Health Plan Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in L.A. Care Health Plan's directory, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"lacare-fhir-directory","asOf":"2026-10-19"}]},{"id":"ins-medi-cal-ffs-medi-cal","value":null,"status":"not-listed","source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19","checkedAt":"2026-10-22T14:41:40Z","staleAfter":"2027-02-16","confidence":"low","gate":"G3","sentence":"Not listed by Medi-Cal fee-for-service for Andre Lamothe, DDS (NPI 1689100018) in DHCS Medi-Cal fee-for-service enrolment file, file of Oct 19, 2026. That is not a no.","checkedSources":[{"source":"dhcs-ffs-enrolled-2026-10-19","asOf":"2026-10-19"}]},{"id":"ins-optum-medicare-advantage","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by Optum Behavioral Health Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-partnership-medi-cal","value":null,"status":"not-listed","source":"partnership-fhir-directory","asOf":"2026-10-16","checkedAt":"2026-10-22T21:38:25Z","staleAfter":"2027-04-14","confidence":"low","gate":"G3","sentence":"Not listed by Partnership HealthPlan of California Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in Partnership HealthPlan of California's directory, file of Oct 16, 2026. That is not a no.","checkedSources":[{"source":"partnership-fhir-directory","asOf":"2026-10-16"}]},{"id":"ins-sfhp-medi-cal","value":null,"status":"not-listed","source":"sfhp-fhir-directory","asOf":"2026-10-01","checkedAt":"2026-10-22T14:56:20Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3","sentence":"Not listed by San Francisco Health Plan Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in San Francisco Health Plan's directory, file of Oct 1, 2026. That is not a no.","checkedSources":[{"source":"sfhp-fhir-directory","asOf":"2026-10-01"}]},{"id":"ins-uhc-marketplace","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare individual and family plans for Andre Lamothe, DDS (NPI 1689100018) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-uhc-medi-cal","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare Medi-Cal plans for Andre Lamothe, DDS (NPI 1689100018) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-uhc-medicare-advantage","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by UnitedHealthcare Medicare Advantage plans for Andre Lamothe, DDS (NPI 1689100018) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]},{"id":"ins-va-va","value":null,"status":"not-listed","source":"uhc-fhir-directory","asOf":"2026-10-23","checkedAt":"2026-10-23T17:42:33Z","staleAfter":"2027-04-21","confidence":"low","gate":"G3","sentence":"Not listed by VA Community Care for Andre Lamothe, DDS (NPI 1689100018) in UnitedHealthcare's directory, file of Oct 23, 2026. That is not a no.","checkedSources":[{"source":"uhc-fhir-directory","asOf":"2026-10-23"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+18317575291","book":null,"payDoor":null,"saveContact":"/npi/1689100018.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"unknown","answer":"Gale has no record of whether Andre Lamothe, DDS (NPI 1689100018) is taking new patients. Ask the office.","factIds":[]},{"q":"insurance","status":"confirmed","answer":"Listed for Andre Lamothe, DDS (NPI 1689100018): Ambetter from Health Net, individual and family (Sep 25, 2026); UnitedHealthcare, commercial (Oct 23, 2026). Each listing names its source and date.","factIds":["ins-healthnet-marketplace","ins-uhc-commercial"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Andre Lamothe, DDS (NPI 1689100018) costs. Paying yourself? You can ask for a written Good Faith Estimate before the visit.","factIds":[]},{"q":"video","status":"unknown","answer":"Gale has no record of whether Andre Lamothe, DDS (NPI 1689100018) offers video visits. Ask the office.","factIds":[]},{"q":"where","status":"self-reported","answer":"Andre Lamothe, DDS (NPI 1689100018) is listed in Salinas, CA by the NPPES registry, as of the registry file of Jun 8, 2026.","factIds":["city","state"]},{"q":"who-they-see","status":"unknown","answer":"Gale has no record of who Andre Lamothe, DDS (NPI 1689100018) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Andre Lamothe, DDS (NPI 1689100018) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Andre Lamothe, DDS (NPI 1689100018) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (831) 757-5291, the practice phone the NPPES registry lists for Andre Lamothe, DDS (NPI 1689100018) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Andre Lamothe, DDS (NPI 1689100018). Ask the office.","factIds":[]}],"sources":[{"id":"nppes-registry","name":"NPPES registry (CMS)","kind":"registry","asserting":true,"fileDate":"2026-06-08","url":"https://npiregistry.cms.hhs.gov/provider-view/1689100018","handCheck":null},{"id":"ahf-fhir-directory","name":"AIDS Healthcare Foundation (PHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-09-19","url":null,"handCheck":null},{"id":"blueshield-tic-2026-10","name":"Blue Shield of California's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"bsc-fhir-directory","name":"Blue Shield of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":23,"checked":60,"at":"2026-10-22"}},{"id":"caloptima-fhir-directory","name":"CalOptima Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-11","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"ccah-fhir-directory","name":"Central California Alliance for Health's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":null},{"id":"cms-medicare-optout","name":"CMS Medicare opt-out list","kind":"cms-file","asserting":true,"fileDate":"2026-09-15","url":"https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits","handCheck":{"wrong":0,"checked":2,"at":"2026-10-22"}},{"id":"dhcs-ffs-enrolled-2026-10-19","name":"DHCS Medi-Cal fee-for-service enrolment file","kind":"state-file","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":null},{"id":"goldcoast-fhir-directory","name":"Gold Coast Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"healthnet-fhir-directory","name":"Health Net's directory","kind":"directory","asserting":true,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}},{"id":"hpsj-fhir-directory","name":"Health Plan of San Joaquin's directory","kind":"directory","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":null},{"id":"iehp-fhir-directory","name":"Inland Empire Health Plan (IEHP)'s directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"kern-fhir-directory","name":"Kern Family Health Care's directory","kind":"directory","asserting":true,"fileDate":"2026-10-09","url":null,"handCheck":null},{"id":"lacare-fhir-directory","name":"L.A. Care Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-19","url":null,"handCheck":{"wrong":4,"checked":12,"at":"2026-10-22"}},{"id":"partnership-fhir-directory","name":"Partnership HealthPlan of California's directory","kind":"directory","asserting":true,"fileDate":"2026-10-16","url":null,"handCheck":null},{"id":"sfhp-fhir-directory","name":"San Francisco Health Plan's directory","kind":"directory","asserting":true,"fileDate":"2026-10-01","url":null,"handCheck":null},{"id":"uhc-fhir-directory","name":"UnitedHealthcare's directory","kind":"directory","asserting":true,"fileDate":"2026-10-23","url":null,"handCheck":{"wrong":6,"checked":12,"at":"2026-10-22"}}],"terms":"https://www.gale.care/agents#terms","about":{"status":"How each fact is known. confirmed = Listed: a named directory, CMS file or state file lists it. inferred = Likely: a price file suggests it; a likely match is a lead, not a listing. self-reported: the clinician said it, to the NPPES registry or on Gale. not-listed: a source that lists every clinician it covers was read and does not list this one; that is not a no. unknown: no record; ask the office.","sentence":"The fact in one sentence that names the clinician, the NPI, the source and the date. It starts with the status word. Quote it whole.","asOf":"The date the source gives this record (YYYY-MM-DD). It is not the date of the event the record describes: an opt-out states its own start and end dates in its sentence.","checkedAt":"When Gale last read the source.","staleAfter":"After this date the fact keeps its status word and date, and staleNote says the record is old; later still it is dropped. A fact from a full CMS or state file the publisher has not replaced stays, marked stale, for as long as that file is the newest one, and its staleNote says Gale found no newer file.","staleNote":"On a fact past its fresh window only: the record's age, as its own sentence (\"The state file is old; Gale found no newer one.\"). It never changes the status.","confidence":"How far Gale trusts the source, measured on the source (high, medium, low, none). Never a judgment of the clinician.","cautions":"hand-check: Gale checked a sample of this source by hand and found errors (sources[].handCheck has the numbers). conflict: another source disagrees (see conflict). stale: the record is past its fresh window. A caution never changes the status.","gate":"The publication switch that lets this kind of fact show. It says nothing about the clinician.","checkedSources":"For a not-listed fact: each source that was read, with its date.","insurance.rows[].value":"payer is a short id for the plan and payerLabel its name. line is the kind of plan: commercial, marketplace (individual and family), medicare, medicare-advantage, medi-cal, tricare, va, workers-comp. accepts is true on a listing and false only on a dated refusal (a directory's \"not accepting\" or an opt-out), never from absence; on a lead (status inferred) it is null, because a price file never says a clinician accepts a plan. optOut, on an Original Medicare opt-out, is the opt-out's own start and end dates (from, to) from CMS's opt-out list. setting is where the listing says care happens (office, virtual, both), or null when the source does not say.","insurance.coverage":"covered: whether Gale read the insurance files for this state; checkedAt: when it last did.","sources[].kind":"registry: the NPPES registry. cms-file, state-file: government files. directory: an insurer's directory. price-file: an insurer's published rates, which give leads only. gale: Gale's booking system. clinician: the clinician on Gale.","sources[].fileDate":"The date of the source file Gale read.","sources[].handCheck":"Gale's hand check of the source: checked is how many of its entries Gale checked by hand, wrong how many of those were wrong, at the date of the check. It describes the source, not this clinician.","sources[].asserting":"true when the source lists every clinician it covers, so its silence can support a not-listed fact. Only such sources ever do.","factsHash":"Changes only when a fact changes, never on a re-check.","index.basis":"Why the page is or is not indexed. index-all: indexed. Anything else: not indexed, and no reason about the clinician is given.","exportId":"The data export the facts come from.","hiddenFacts":"Facts withheld because someone disputed them. No reason is given."}}