Active NPI
Alexander Gammicchia
- Physical Therapist
- Oxnard, CA
National Provider Identifier
1548740525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295194
- Practice address
- 2001 Solar Dr Ste 150
Oxnard, CA 93036-0680 - Phone
- (805) 604-1924
- Fax
- (805) 604-0176
- NPI assigned
- Aug 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295194 | CA | Primary |
| Physical Therapist | 225100000X | PT295194 | CA |
Addresses
Primary practice location
2001 Solar Dr Ste 150
Oxnard, CA 93036-0680
Mailing address
14238 Wayford Run
Shelby Township, MI 48315-4840
Phone (586) 665-0495
Other practice location 1
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000
Other practice location 2
275 Hospital Pkwy Bldg 65th
San Jose, CA 95119
Phone (408) 972-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | WebPT | Health Information Exchange (HIE) | California Hand and Physical Therapy Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295194 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1548740525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14238 WAYFORD RUN",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154840",
"telephone_number": "586-665-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SOLAR DR STE 150",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360680",
"telephone_number": "805-604-1924",
"fax_number": "805-604-0176"
}
],
"practiceLocations": [
{
"address_1": "250 Hospital Pkwy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951191103",
"country_code": "US",
"telephone_number": "408-972-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Hospital Pkwy Bldg 65th",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95119",
"country_code": "US",
"telephone_number": "408-972-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMMICCHIA",
"first_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-18",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295194",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295194",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "WebPT",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "California Hand and Physical Therapy Inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2001 Solar Dr Ste 150",
"city": "Oxnard",
"state": "CA",
"country_code": "US",
"postal_code": "930360680",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.