Individual provider Active NPI

Gundi Heimir Gunnarsson, P.T.

  • Physical Therapist
  • San Bernardino, CA
National Provider Identifier
1144396359
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10078 Issued in CA
Practice address
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone
(909) 890-9030
Fax
(909) 890-4393
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10078 CA Primary

Addresses

Primary practice location

1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467

Mailing address

1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone (909) 890-9030

Other names 1

  • Gudmundur Heimir Gunnarsson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000546 CA Practitioner - Physical Therapist in Private Practice 1052204187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Therapy Network IncorporatedGroup PAC ID 9234022369, 22 clinicians

Practice addresses (Care Compare)

1845 Business Ctr Dr
Suite 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

1902 Royalty Dr
Suite 220
Pomona, CA 91767-3056
Phone (909) 622-0006

46900 Monroe St
Suite 304
Indio, CA 92201-4829
Phone (760) 289-3010

802 Magnolia Ave
Suite 107
Corona, CA 92879-3125
Phone (951) 340-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10078CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapy Network Incorporated Physical Therapist CurrentSince May 17, 2018 Accepting new patients
United Therapy Network Incorporated Physical Therapist Current Accepting new patients
United Therapy Network Incorporated Physical Therapist CurrentSince May 17, 2018 Accepting new patients
United Therapy Network Inc Physical Therapist Past Accepting new patients
United Therapy Network Incorporated Physical Therapist Past Accepting new patients

Locations

802 Magnolia Ave
Ste 107
Corona, CA 92879
Phone (951) 340-0070

500 N Central Ave
Ste 850
Glendale, CA 91203
Phone (818) 549-9764

130 W Route 66
Ste 108
Glendora, CA 91740
Phone (626) 331-8355

46900 Monroe St
Ste 304
Indio, CA 92201
Phone (760) 289-3010

46900 Monroe St
Ste C304
Indio, CA 92201
Phone (760) 289-3010

3700 E Tachevah Dr
Ste 107
Palm Springs, CA 92262
Phone (760) 459-0003

1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108

10470 Foothill Blvd
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 948-0411

8599 Haven Ave
Ste 207
Rch Cucamonga, CA 91730
Phone (909) 948-0411

3400 Central Ave
Ste 145
Riverside, CA 92506
Phone (951) 297-3399

1955 Hunts Ln
Ste 200
San Bernardino, CA 92408
Phone (909) 335-1164

1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030

100 N Barranca St
Ste 380
West Covina, CA 91791
Phone (626) 331-8355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1144396359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR",
            "address_2": "SUITE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083467",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR",
            "address_2": "SUITE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083467",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNARSSON",
        "first_name": "GUNDI",
        "middle_name": "HEIMIR",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "10078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUDMUNDUR",
            "last_name": "GUNNARSSON",
            "middle_name": "HEIMIR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.