Individual provider Active NPI

Dharmesh Ishwar Gordhan, PT

  • Orthopedic Physical Therapist
  • Oxnard, CA
National Provider Identifier
1053334664
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 32843 Issued in CA
Practice address
2051 Statham Blvd
Oxnard, CA 93033-3901
Phone
(805) 293-6213
NPI assigned
Jul 25, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 32843 CA Primary

Addresses

Primary practice location

2051 Statham Blvd
Oxnard, CA 93033-3901

Mailing address

2051 Statham Blvd
Oxnard, CA 93033-3901
Phone (805) 293-6213

Other identifiers 1

IdentifierTypeStateIssuer
PT 32843OtherCAPT BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000363 CA Practitioner - Physical Therapist in Private Practice 3173527199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

721 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone (805) 250-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 32843CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc CurrentSince Dec 9, 2020 Accepting new patients
Sunrise Physical Therapy Services, Inc Orthopedic CurrentSince Jun 5, 2012 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Orthopedic CurrentSince Dec 9, 2020 Accepting new patients
Second Wave Physical Therapy Inc. Orthopedic CurrentSince May 5, 2025 Accepting new patients
Sunrise Physical Medicine and Wellness Center, Inc. Past Accepting new patients
Blayne Robinson Liparoto Orthopedic PastSince Nov 1, 2000 Accepting new patients

Locations

1100 N Ventura Rd
Ste 103
Oxnard, CA 93030
Phone (805) 983-0811

2051 Statham Blvd
Oxnard, CA 93033
Phone (805) 250-3375

721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273

1879 Portola Rd
Ste A2
Ventura, CA 93003
Phone (805) 644-1273

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1053334664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 STATHAM BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333901",
            "telephone_number": "805-293-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 STATHAM BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333901",
            "telephone_number": "805-293-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDHAN",
        "first_name": "DHARMESH",
        "middle_name": "ISHWAR",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-01-24",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 32843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD LICENSE",
            "identifier": "PT 32843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.