Active NPI
Maria Victoria Gaudinez Gamo, PT
- Physical Therapist
- Union City, CA
National Provider Identifier
1174722680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29494
- Practice address
- 34400 Mission Blvd
Union City, CA 94587-3604 - Phone
- (510) 429-6474
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29494 | CA | Primary |
Addresses
Primary practice location
34400 Mission Blvd
Union City, CA 94587-3604
Mailing address
43120 Grimmer Ter
Fremont, CA 94538-6634
Phone (510) 668-1581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29494 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1174722680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43120 GRIMMER TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945386634",
"telephone_number": "510-668-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34400 MISSION BLVD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873604",
"telephone_number": "510-429-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMO",
"first_name": "MARIA VICTORIA",
"middle_name": "GAUDINEZ",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.