Gary Dostalek, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5881 Issued in CA

Practice address

42283 10TH St W
Lancaster, CA 93534-7073

Phone

(661) 949-9655

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Frye Chiropractic, Inc

  dba Antelope Valley Spinal Care Medical Corp

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1205860558
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447276860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W AVENUE R12",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935517700",
            "telephone_number": "661-273-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42283 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347073",
            "telephone_number": "661-949-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSTALEK",
        "first_name": "GARY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Nicholas Dorn
• Kristina Doronila Gaddi
• Antoinette Dorris
• Marcus Dorris Sr.
• Crystal Sharald Bessie Dorton
• Douglas B. Weber, DDS, a Dental Incorporation
• Roganae L Douglas
• Shinece Douglas
• Vincent Michael Douglas
• Christine May Douglass

• Occupational Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.