Individual provider Active NPI

Gabriela Jorgelina Cena-Vodanovic, RPT

  • Physical Therapist
  • Lancaster, CA
National Provider Identifier
1790903995
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20034 Issued in CA
Practice address
42135 10TH St W Ste 147
Lancaster, CA 93534-6093
Phone
(661) 266-9578
Fax
(661) 266-2208
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20034 CA Primary

Addresses

Primary practice location

42135 10TH St W Ste 147
Lancaster, CA 93534-6093

Mailing address

42135 10TH St W Ste 147
Lancaster, CA 93534-6093
Phone (661) 266-9578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000531 CA Practitioner - Physical Therapist in Private Practice 7719917608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Valley Physical Therapy, Inc.Group PAC ID 3173553062, 2 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 147
Lancaster, CA 93534-6093
Phone (661) 266-9578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20034CAMDDental Hygienist
PT20034CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Physical Therapy, Inc. Physical Therapist CurrentSince Jul 17, 2000 Accepting new patients
Bartz-Altadonna Community Health Center PastSince Feb 18, 2024 Accepting new patients

Locations

42135 10th St W
Ste 147
Lancaster, CA 93534
Phone (661) 266-9578

3167 Rancho Vista Blvd
Ste D
Palmdale, CA 93551
Phone (661) 266-9578

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1790903995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 147",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346093",
            "telephone_number": "661-266-9578",
            "fax_number": "661-266-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 147",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346093",
            "telephone_number": "661-266-9578",
            "fax_number": "661-266-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENA-VODANOVIC",
        "first_name": "GABRIELA",
        "middle_name": "JORGELINA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20034",
            "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 Feb 15, 2024; 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.