Individual provider Active NPI

Angie Gorospe, PT

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1861547093
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT32659 Issued in CA
Practice address
2701 Calloway Dr
# 400
Bakersfield, CA 93312-2621
Phone
(661) 589-9066
Fax
(661) 589-4209
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT32659 CA Primary

Addresses

Primary practice location

2701 Calloway Dr
# 400
Bakersfield, CA 93312-2621

Mailing address

1201 23Rd St
Bakersfield, CA 93301-2306
Phone (661) 327-4357

Other identifiers 3

IdentifierTypeStateIssuer
P00711450OtherCARAILROAD MEDICARE PTAN
ZZZ21295ZOtherCAMEDICARE GROUP PTAN
0PT326590OtherCAMEDICARE PTAN

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

LicenseStateTypeSpecialty
32659CAMDDentist
PT32659CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Glinn and Giordano Physical Therapy Inc. Past Accepting new patients

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1861547093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 23RD ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012306",
            "telephone_number": "661-327-4357",
            "fax_number": "661-327-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CALLOWAY DR",
            "address_2": "# 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122621",
            "telephone_number": "661-589-9066",
            "fax_number": "661-589-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "ANGIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT32659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00711450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ21295Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0PT326590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.