Michael Gavino

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

25201 Paseo de Alicia Ste 110
Laguna Hills, CA 92653-4627

Phone

(818) 241-6780

Fax

(818) 241-6853

NPI assigned

Nov 29, 2018

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Mountain Rehab LLCGroup PAC ID 9638208630, 6 clinicians

Affiliated Physical TherapyGroup PAC ID 1951453075, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Affiliated Physical Therapy

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1669607156
  Medicare reassignment Care Compare group NPD
• Spring Mountain Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1447257456
  Medicare reassignment Care Compare group NPD
• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1528538899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N JACKSON ST STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064330",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 PASEO DE ALICIA STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534627",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Garrick
• Erin V Garriott, LCSW
• Gary L. Sugarman,M.D.,Inc.
• Gate Three Healthcare LLC
• Michael J Gault, M.D.
• Lynn S Gaylord, MFT
• Virginia Murphy Geidt
• Valerie Michelle Gelb, MFT
• George K Shahinian MD Inc
• George M. Salib, M.D. Inc.

• Behavior Technician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.