Edmund Gornay

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

22638 Issued in CA

Practice address

11326 Mountain View Ave
Suite a
Loma Linda, CA 92354-3817

Phone

(909) 799-9944

Fax

(909) 799-1828

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edmund Gornay PT Inc

  • Physical Therapist
  • Loma Linda, CA
  • NPI 1871995175
  Medicare reassignment NPD
• Balanced Physical Therapy & Fitness, PC

  • Physical Therapy Clinic/Center
  • San Bernardino, CA
  • NPI 1093115750

  Sports

  NPD

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1316064181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11326 MOUNTAIN VIEW AVE",
            "address_2": "SUITE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543817",
            "telephone_number": "909-799-9944",
            "fax_number": "909-799-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11326 MOUNTAIN VIEW AVE",
            "address_2": "SUITE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543817",
            "telephone_number": "909-799-9944",
            "fax_number": "909-799-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNAY",
        "first_name": "EDMUND",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "22638",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Goodacre, DDS
• Sarah Elizabeth Goodacre
• Corban Paul Goodman
• Emerita Geluz Goodrich, NP
• Ryan Gore
• Magdalena Justyna Goryszewska
• Vadim V Gospodarev, MD
• Bryan Kieth Goudelock, PH.D.
• Tracy Anne Gould, D.O.
• Deepa Prakashini Govindasamy Rajagopal

• Orthopedic Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.