Individual provider Active NPI

Gwendolyn Dawn Lundin, PTA

  • Physical Therapy Assistant
  • West Sacramento, CA
National Provider Identifier
1366391807
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5001 Issued in CA
Practice address
3410 Industrial Blvd Ste 102
West Sacramento, CA 95691-5005
Phone
(916) 669-9038
Fax
(916) 529-4161
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 5001 CA Primary

Addresses

Primary practice location

3410 Industrial Blvd Ste 102
West Sacramento, CA 95691-5005

Mailing address

2275 Natomas Park Dr Unit 13303
Sacramento, CA 95833-2997
Phone (916) 669-9038

Other practice location 1

151 N Sunrise Ave Ste 511
Roseville, CA 95661-2925
Phone (916) 669-9038 ext. 1010

Other practice location 2

3800 Watt Ave Ste 225
Sacramento, CA 95821-2690
Phone (916) 669-9038 ext. 1010

Other practice location 3

8031 Fruitridge Rd Ste A&b
Sacramento, CA 95820-6777
Phone (916) 669-9038 ext. 1010

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

LicenseStateTypeSpecialty
5001CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jagdeep Garcha P.T Single Specialty PastSince Jan 20, 2018 Accepting new patients
Jagdeep Garcha P.T Past Accepting new patients

Organizations & group practices 2

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": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1366391807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NATOMAS PARK DR UNIT 13303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332997",
            "telephone_number": "916-669-9038",
            "fax_number": "916-529-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 INDUSTRIAL BLVD STE 102",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915005",
            "telephone_number": "916-669-9038",
            "fax_number": "916-529-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Sunrise Ave Ste 511",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612925",
            "country_code": "US",
            "telephone_number": "916-669-9038 x1010",
            "fax_number": "916-529-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Watt Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212690",
            "country_code": "US",
            "telephone_number": "916-669-9038 x1010",
            "fax_number": "916-529-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8031 Fruitridge Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958206777",
            "country_code": "US",
            "telephone_number": "916-669-9038 x1010",
            "fax_number": "916-529-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "GWENDOLYN",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.