Individual provider Active NPI

Gabriel Guzman

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1306528773
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304463 Issued in CA
Practice address
5214 E Los Altos PLZ
Long Beach, CA 90815-4251
Phone
(562) 597-3035
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 304463 CA Primary

Addresses

Primary practice location

5214 E Los Altos PLZ
Long Beach, CA 90815-4251

Mailing address

430 Gaviota Ave Apt 304
Long Beach, CA 90802-1994
Phone (562) 234-9878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012002325 CA Practitioner - Physical Therapist in Private Practice 1254786148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Physical Therapy IncGroup PAC ID 8820182306, 4 clinicians

Practice addresses (Care Compare)

5214 E Los Altos PLZ
Long Beach, CA 90815-4251
Phone (562) 597-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Physical Therapy Inc. Physical Therapist CurrentSince Aug 20, 2023 Accepting new patients

Locations

5214 E Los Altos Plz
Long Beach, CA 90815
Phone (562) 597-3035

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1306528773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 GAVIOTA AVE APT 304",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021994",
            "telephone_number": "562-234-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 E LOS ALTOS PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154251",
            "telephone_number": "562-597-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.