Wilver Israel Gonzalez-Galdamez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301330 Issued in CA

Practice address

79440 Corporate Center Dr Ste 112
La Quinta, CA 92253-7243

Phone

(760) 771-9054

Fax

(760) 771-9057

NPI assigned

Nov 20, 2021

Last updated

Sep 26, 2023By 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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Star Physical TherapyGroup PAC ID 7719030949, 149 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• Complete Care Physical Therapy

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1669554325
  NPD
• Elite Physical Therapy and Wellness, Inc.

  dba Elite Physical Therapy & Wellness

  • Physical Therapist
  • La Quinta, CA
  • NPI 1780702209
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1629735097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "951-335-9825",
            "fax_number": "951-666-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 112",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537243",
            "telephone_number": "760-771-9054",
            "fax_number": "760-771-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GALDAMEZ",
        "first_name": "WILVER",
        "middle_name": "ISRAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gery, MD
• Getsetup, Inc.
• Lanae Glosson
• Juan Antonio Godoy, CADC II
• Emily Mariah Gonzalez Poulos
• Edith Gonzalez-Werner, M. D.
• Marie Rallie Goodson, MS-CCC-SLP
• Steven P Gorman, M.D.
• Judith Granados
• Angela Rae Grano, SLP

• Physical Therapist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.