Individual provider Active NPI

Autumn Nicole Gauna

  • Rehabilitation Practitioner
  • North Hollywood, CA
National Provider Identifier
1003077694
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
5200 Lankershim Blvd Ste 170
North Hollywood, CA 91601-3184
Phone
(213) 216-5473
Fax
(213) 216-5473
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

5200 Lankershim Blvd Ste 170
North Hollywood, CA 91601-3184

Mailing address

623 N Madison Ave
Pasadena, CA 91101-1109
Phone (626) 304-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1003077694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011109",
            "telephone_number": "626-304-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 LANKERSHIM BLVD STE 170",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013184",
            "telephone_number": "213-216-5473",
            "fax_number": "213-216-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNA",
        "first_name": "AUTUMN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.