{"schema":"gale.providerFacts/1","npi":"1932600285","url":"https://www.gale.care/providers/ca/stockton/julianne-luevanos-1932600285","factsUrl":"https://www.gale.care/npi/1932600285.json","markdownUrl":"https://www.gale.care/npi/1932600285.md","generatedAt":"2026-10-25T00:26:40.972Z","exportId":"elig-ca-20261023T221350Z","factsHash":"4db18a6adbec3a58","factsChangedAt":"2026-10-22T00:00:00.000Z","index":{"robots":"index","basis":"index-all"},"summary":"Julianne Luevanos (NPI 1932600285) is listed in the NPPES registry with the specialty Behavior Technician in Stockton, CA, phone (209) 521-4791, as of the registry file of Jun 8, 2026.","identity":{"name":{"id":"name","value":"Julianne Luevanos","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Julianne Luevanos under NPI 1932600285, as of the registry file of Jun 8, 2026."},"credential":{"id":"credential","value":null,"status":"not-listed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists no credential for Julianne Luevanos (NPI 1932600285), as of the registry file of Jun 8, 2026."},"specialty":{"id":"specialty","value":"Behavior Technician","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists Julianne Luevanos (NPI 1932600285) under the specialty Behavior Technician, 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 Julianne Luevanos (NPI 1932600285) under a training program, as of the registry file of Jun 8, 2026."},"npiIssued":{"id":"npi-issued","value":2018,"status":"confirmed","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry shows NPI 1932600285 (Julianne Luevanos) issued in 2018, as of the registry file of Jun 8, 2026."},"practiceType":{"id":"practice-type","value":"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 Julianne Luevanos (NPI 1932600285) as a sole proprietor, as of the registry file of Jun 8, 2026."}},"location":{"city":{"id":"city","value":"Stockton","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 Stockton for Julianne Luevanos (NPI 1932600285), 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 Julianne Luevanos (NPI 1932600285), as of the registry file of Jun 8, 2026."}},"contact":{"phone":{"id":"phone","value":"(209) 521-4791","status":"self-reported","source":"nppes-registry","asOf":"2026-06-08","checkedAt":null,"staleAfter":null,"confidence":"high","gate":"G0","sentence":"The NPPES registry lists (209) 521-4791 as the practice phone for Julianne Luevanos (NPI 1932600285), as of the registry file of Jun 8, 2026."}},"care":{"newPatients":{"id":"new-patients","value":true,"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-09-20","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2026-12-19","confidence":"high","gate":"G4","sentence":"Cigna's directory listed Julianne Luevanos (NPI 1932600285) as taking new patients on Sep 20, 2026."}},"insurance":{"rows":[{"id":"ins-alameda-medi-cal","value":{"payer":"alameda","payerLabel":"Alameda Alliance for Health","line":"medi-cal","products":["AAH"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Julianne Luevanos (NPI 1932600285) for Alameda Alliance for Health Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-ccah-medi-cal","value":{"payer":"ccah","payerLabel":"Central California Alliance for Health","line":"medi-cal","products":["SubcontractorBH"],"accepts":true,"setting":"office"},"status":"confirmed","source":"dhcs-mcp-274-listing","asOf":"2026-04-21","checkedAt":"2026-10-22T14:42:02Z","staleAfter":"2026-08-19","confidence":"medium","gate":"G3","sentence":"Listed: DHCS Medi-Cal plan network listing listed Julianne Luevanos (NPI 1932600285) for Central California Alliance for Health Medi-Cal plans on Apr 21, 2026. The state file is old; Gale found no newer one.","cautions":["stale"],"staleNote":"The state file is old; Gale found no newer one."},{"id":"ins-cigna-commercial","value":{"payer":"cigna","payerLabel":"Cigna / Evernorth","line":"commercial","products":["EBH NATIONAL STANDALONE NETFLEX NETWORK"],"accepts":true,"setting":"office"},"status":"confirmed","source":"cigna-fhir-directory","asOf":"2026-09-20","checkedAt":"2026-10-22T21:36:04Z","staleAfter":"2027-03-19","confidence":"high","gate":"G3","sentence":"Listed: Cigna's directory listed Julianne Luevanos (NPI 1932600285) for Cigna / Evernorth commercial plans on Sep 20, 2026. Gale checked 51 listings in this directory by hand on Oct 22, 2026; 3 were wrong, so confirm with the office.","cautions":["hand-check"]},{"id":"ins-goldcoast-medi-cal","value":{"payer":"goldcoast","payerLabel":"Gold Coast Health Plan","line":"medi-cal","products":["GOLD COAST HEALTH PLAN-2026"],"accepts":true,"setting":null},"status":"confirmed","source":"goldcoast-fhir-directory","asOf":"2026-10-09","checkedAt":"2026-10-22T14:57:24Z","staleAfter":"2027-04-07","confidence":"high","gate":"G3","sentence":"Listed: Gold Coast Health Plan's directory listed Julianne Luevanos (NPI 1932600285) for Gold Coast Health Plan Medi-Cal plans on Oct 9, 2026."},{"id":"ins-healthnet-medi-cal","value":{"payer":"healthnet","payerLabel":"Health Net","line":"medi-cal","products":["Medi-Cal MHN CA"],"accepts":true,"setting":null},"status":"confirmed","source":"healthnet-fhir-directory","asOf":"2026-10-19","checkedAt":"2026-10-22T21:25:40Z","staleAfter":"2027-04-17","confidence":"medium","gate":"G3","sentence":"Listed: Health Net's directory listed Julianne Luevanos (NPI 1932600285) for Health Net Medi-Cal plans on Oct 19, 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-anthem-commercial","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"commercial","products":["CA EPO HIGH PERFORMANCE","CA EPO USC TIER 1","CA HMO ADVANTAGE","CA HMO CALIFORNIACARE IN","CA HMO CALIFORNIACARE LG","CA HMO CALIFORNIACARE SG","CA HMO DIGNITY HEALTH ADVANTAGE","CA HMO DIGNITY HEALTH ADVANTAGE EXCLUDES SUTTER"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Julianne Luevanos (NPI 1932600285) for commercial plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-marketplace","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"marketplace","products":["CA EPO Pathway","CA HMO Pathway"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Julianne Luevanos (NPI 1932600285) for individual and family plans (file of Oct 1, 2026). That is a lead, not a directory listing."},{"id":"ins-anthem-workers-comp","value":{"payer":"anthem","payerLabel":"Anthem Blue Cross","line":"workers-comp","products":["CA WORKERS COMPENSATION"],"accepts":null,"setting":null},"status":"inferred","source":"anthem-tic-2026-10","asOf":"2026-10-01","checkedAt":"2026-10-22T17:01:10Z","staleAfter":"2027-03-30","confidence":"low","gate":"G3i","sentence":"Likely: Anthem Blue Cross's price file suggests Anthem Blue Cross pays Julianne Luevanos (NPI 1932600285) for workers' compensation (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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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-commercial","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 commercial plans for Julianne Luevanos (NPI 1932600285) 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-marketplace","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 individual and family plans for Julianne Luevanos (NPI 1932600285) 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-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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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-healthnet-marketplace","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 Ambetter from Health Net individual and family plans for Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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-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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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-medicare-medicare","value":null,"status":"not-listed","source":"cms-medicare-clinicians","asOf":"2026-10-02","checkedAt":"2026-10-22T14:36:32Z","staleAfter":"2027-01-30","confidence":"low","gate":"G3","sentence":"Not listed by Original Medicare for Julianne Luevanos (NPI 1932600285) in CMS Medicare clinicians file, file of Oct 2, 2026. That is not a no.","checkedSources":[{"source":"cms-medicare-clinicians","asOf":"2026-10-02"}]},{"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 Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) 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"}]}],"coverage":{"state":"CA","covered":true,"checkedAt":"2026-10-23T22:13:50Z"}},"publicRecord":{},"claim":{"claimed":false,"identityConfirmedOn":null},"actions":{"call":"tel:+12095214791","book":null,"payDoor":null,"saveContact":"/npi/1932600285.vcf","intent":null},"hiddenFacts":[],"answers":[{"q":"new-patients","status":"confirmed","answer":"Cigna's directory listed Julianne Luevanos (NPI 1932600285) as taking new patients on Sep 20, 2026.","factIds":["new-patients"]},{"q":"insurance","status":"confirmed","answer":"Listed for Julianne Luevanos (NPI 1932600285): Alameda Alliance for Health, Medi-Cal (Apr 21, 2026); Central California Alliance for Health, Medi-Cal (Apr 21, 2026); Cigna / Evernorth, commercial (Sep 20, 2026); Gold Coast Health Plan, Medi-Cal (Oct 9, 2026); Health Net, Medi-Cal (Oct 19, 2026). Each listing names its source and date.","factIds":["ins-alameda-medi-cal","ins-ccah-medi-cal","ins-cigna-commercial","ins-goldcoast-medi-cal","ins-healthnet-medi-cal"]},{"q":"cost","status":"unknown","answer":"Gale has no record of what a first visit with Julianne Luevanos (NPI 1932600285) 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 Julianne Luevanos (NPI 1932600285) offers video visits. Ask the office.","factIds":[]},{"q":"where","status":"self-reported","answer":"Julianne Luevanos (NPI 1932600285) is listed in Stockton, 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 Julianne Luevanos (NPI 1932600285) sees. Ask the office.","factIds":[]},{"q":"help-with","status":"unknown","answer":"Gale has no record of what Julianne Luevanos (NPI 1932600285) helps with beyond the registry specialty. Ask the office.","factIds":[]},{"q":"languages","status":"unknown","answer":"Gale has no record of the languages Julianne Luevanos (NPI 1932600285) speaks. Ask the office.","factIds":[]},{"q":"how-to-book","status":"self-reported","answer":"Call (209) 521-4791, the practice phone the NPPES registry lists for Julianne Luevanos (NPI 1932600285) (Jun 8, 2026).","factIds":["phone"]},{"q":"next-opening","status":"unknown","answer":"Gale has no record of the next opening for Julianne Luevanos (NPI 1932600285). 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/1932600285","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":"anthem-tic-2026-10","name":"Anthem Blue Cross's price file","kind":"price-file","asserting":false,"fileDate":"2026-10-01","url":null,"handCheck":{"wrong":8,"checked":11,"at":"2026-10-22"}},{"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":"cigna-fhir-directory","name":"Cigna's directory","kind":"directory","asserting":false,"fileDate":"2026-10-22","url":null,"handCheck":{"wrong":3,"checked":51,"at":"2026-10-22"}},{"id":"cms-medicare-clinicians","name":"CMS Medicare clinicians file","kind":"cms-file","asserting":true,"fileDate":"2026-10-02","url":null,"handCheck":{"wrong":0,"checked":23,"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":"dhcs-mcp-274-listing","name":"DHCS Medi-Cal plan network listing","kind":"state-file","asserting":true,"fileDate":"2026-04-21","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":"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}],"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, up to 270 days after the file's date, 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."}}