Active NPI
Giovanna Dominique Gallardo
- Pediatric Physical Therapist
- San Diego, CA
National Provider Identifier
1154099125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 8344 Clairemont Mesa Blvd
San Diego, CA 92111-1307 - Phone
- (858) 565-6911
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
8344 Clairemont Mesa Blvd
San Diego, CA 92111-1307
Mailing address
2301 Lago Ventana
Chula Vista, CA 91914-2080
Phone (619) 495-0229
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT in Motion | Pediatrics | Current | Accepting new patients |
Locations
690 Otay Lakes Rd
Ste 110
Chula Vista, CA 91910
Phone (619) 421-0444
Organizations & group practices 1
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": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1154099125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LAGO VENTANA",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919142080",
"telephone_number": "619-495-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8344 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111307",
"telephone_number": "858-565-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "GIOVANNA",
"middle_name": "DOMINIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.