Luis Jiggs Gonzales, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 41833 Issued in CA

Practice address

3600 N Verdugo Rd
Suite 300
Glendale, CA 91208-1219

Phone

(818) 236-4833

Fax

(818) 236-4835

NPI assigned

Oct 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy WestGroup PAC ID 7719113224, 7 clinicians

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.

• Physical Therapy West

  • Physical Therapy Clinic/Center
  • Lancaster, CA
  • NPI 1801235759

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Albert Babanian, Inc.

  • Physical Therapist
  • Glendale, CA
  • NPI 1598100927
  Medicare reassignment NPD

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1417352188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081219",
            "telephone_number": "818-236-4833",
            "fax_number": "818-236-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081219",
            "telephone_number": "818-236-4833",
            "fax_number": "818-236-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "LUIS",
        "middle_name": "JIGGS",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 41833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Orio Gonzaga, NP
• Alexsia Gonzales
• Cyrill Gonzales
• Joseph Rangel Gonzales
• Justine Gonzales
• Lyca Deguzman Gonzales
• Gabriela Gonzalez Guevara
• Yahir Gonzalez Saldana
• Alejandra Gonzalez
• Esai Mario Lan Gonzalez

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.