Hendrick D Ganding, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22216 Issued in CA

Practice address

11336 Bartlett Ave
11
Adelanto, CA 92301-1948

Phone

(760) 246-8846

Fax

(760) 246-3118

NPI assigned

Jul 3, 2006

Last updated

Oct 24, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edizon Physical Therapy Inc.

  • Physical Therapist
  • Adelanto, CA
  • NPI 1972526358
  NPD (past) Authorized official
• Shalom Medical Group, Inc.

  • Surgery Physician
  • Anaheim, CA
  • NPI 1922024736
  NPD (past)
• Whan Sil Kim, M.D., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1952477648
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1700815495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 BARTLETT AVE",
            "address_2": "11",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011948",
            "telephone_number": "760-246-8846",
            "fax_number": "760-246-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 BARTLETT AVE",
            "address_2": "11",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011948",
            "telephone_number": "760-246-8846",
            "fax_number": "760-246-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDING",
        "first_name": "HENDRICK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0222160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edizon Physical Therapy Inc.
• Emmanuel Unique Outreach Partners
• Cynthia Esquivel
• Family Service Agency of San Bernardino
• Talisa Elaine Fausto
• Kimberly Isabel Garay
• Michelle Garcia
• Ionel Georgescu, DDS
• Mona Lisa Gonzales
• Alondra Gonzalez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.