Individual provider Active NPI

Gabriel P Ignacio, DPT

  • Orthopedic Physical Therapist
  • Fullerton, CA
National Provider Identifier
1235657529
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
293607 Issued in CA
Practice address
1156 Wright LN
Fullerton, CA 92833-5774
Phone
(949) 431-6551
NPI assigned
Sep 6, 2017
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 293607 CA Primary

Addresses

Primary practice location

1156 Wright LN
Fullerton, CA 92833-5774

Mailing address

1156 Wright LN
Fullerton, CA 92833-5774
Phone (949) 431-6551

Other practice location 1

2777 Bristol St Ste B
Costa Mesa, CA 92626
Phone (949) 250-1112

Other practice location 2

1005 Pacific Coast Hwy # A2
Seal Beach, CA 90740-6214
Phone (562) 598-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005001317 CA Practitioner - Physical Therapist in Private Practice 0143572958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293607CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Orthopedic CurrentSince Sep 19, 2025 Accepting new patients
Sama Physical Therapy and Performance, P.C. CurrentSince May 18, 2025 Accepting new patients
Xcelerate Physical Therapy Inc. Orthopedic PastSince Aug 20, 2012 Accepting new patients
Seal Beach Physical Therapy Inc. Orthopedic PastSince Jul 10, 2013 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

Interoperability endpoints

  • Direct secure messaging: gabriel.ignacio.1@30097.direct.athenahealth.com

Organizations & group practices 4

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1235657529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 WRIGHT LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335774",
            "telephone_number": "949-431-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 WRIGHT LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335774",
            "telephone_number": "949-431-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Bristol St Ste B",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "92626",
            "country_code": "US",
            "telephone_number": "949-250-1112",
            "fax_number": "949-250-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Pacific Coast Hwy # A2",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907406214",
            "country_code": "US",
            "telephone_number": "562-598-5500",
            "fax_number": "562-598-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "GABRIEL",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.