Active NPI
Gayle Kikumi Sakaguchi, PA-C, PTA
- Medical Physician Assistant
- Lancaster, CA
National Provider Identifier
1538233085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 17174
- Practice address
- 1600 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 949-5115
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 1215 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA 17174 | CA | |
| Medical Physician Assistant | 363AM0700X | PA 17174 | CA | Primary |
Addresses
Primary practice location
1600 W Avenue J
Lancaster, CA 93534-2814
Mailing address
2139 W 166TH PL
Torrance, CA 90504-2244
Phone (310) 538-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.53 of 100
- Quality
- 85.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 1215 | CA | MD | Physical Therapy Assistant |
| 17174 | CA | MD | Occupational Therapist |
| PA 17174 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Western Acute Care Physicians, Inc. | Current | Accepting new patients | |
| Western Acute Care Physicians, Inc. | Past | Accepting new patients |
Locations
9838 Paramount Blvd
Downey, CA 90240
Phone (562) 306-5800
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Lancaster, CA
- NPI 1225054257
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1992178222
-
- Emergency Medicine Physician
- Huntington Park, CA
- NPI 1053747121
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1841679289
-
- Family Medicine Physician
- Downey, CA
- NPI 1083266233
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
dba Western Acute Care Physicians Medical Group, Inc.
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1275800310
-
- Clinic/Center
- Downey, CA
- NPI 1700353828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1538233085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 W 166TH PL",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905042244",
"telephone_number": "310-538-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-949-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKAGUCHI",
"first_name": "GAYLE",
"middle_name": "KIKUMI",
"credential": "PA-C, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 1215",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA 17174",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 17174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.