Stefan Erik Gustafson, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT294525 Issued in CA

Practice address

23961 Calle de la Magdalena Ste 119
Laguna Hills, CA 92653-3616

Phone

(949) 837-5111

Fax

(949) 837-6111

NPI assigned

Mar 8, 2018

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2Orthopedic Physical Therapy IncGroup PAC ID 0244579431, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

61.12

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• H2Orthopedic Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Laguna Hills, CA
  • NPI 1144716531
  Medicare reassignment Care Compare group NPD
• California State University Long Beach

  • Physical Therapist
  • Long Beach, CA
  • NPI 1861824518
  Medicare reassignment NPD
• Larry James Lindley, P.T.

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1285772939
  Medicare reassignment

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1790287464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33985 MANTA CT",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294507",
            "telephone_number": "608-528-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 119",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-837-5111",
            "fax_number": "949-837-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "STEFAN",
        "middle_name": "ERIK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT294525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inderpal Singh Gujral, MD
• Natasha Gunaratne, D.P.T.
• Meena P Gupta
• Sunil Gupta, D.O.
• Roger Gurdian
• Jason Guthridge, BCABA
• Andrea Gutierrez Arango, DPT
• Jasmine Miroslava Gutierrez
• Nancy Melinda Guttry, PT
• Scott Ryan Guzik, PHARMD

• Physical Medicine & Rehabilitation Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.