Mariana Couto Gama, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42787 Issued in CA

Practice address

100 N First St
Suite 103
Burbank, CA 91502-1845

Phone

(818) 846-7100

Fax

(818) 846-7101

NPI assigned

Mar 8, 2016

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mariana.gama.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• Step Ahead Physical Therapy, Inc.

  • Physical Therapist
  • Burbank, CA
  • NPI 1205869716
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1467813105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FIRST ST",
            "address_2": "SUITE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021845",
            "telephone_number": "818-846-7100",
            "fax_number": "818-846-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FIRST ST",
            "address_2": "SUITE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021845",
            "telephone_number": "818-846-7100",
            "fax_number": "818-846-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMA",
        "first_name": "MARIANA",
        "middle_name": "COUTO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jill Galustians, P.A.
• Nataliya Galustyan, OTS
• Veronica Daniela Galvan
• Adriana Beatriz Galvez
• Esmeralda Galvez
• Jacqueline Gamez
• Audrey Gammage
• Anne Marie Gammariello
• Marla M Gandara, M.D.
• Chetna Gangwal, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.