Edmund Gornay PT Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22638 Issued in CA

Legal business name

EDMUND GORNAY PT INC

Practice address

11326 Mountain View Ave
Suite a
Loma Linda, CA 92354-3817

Phone

(909) 799-9944

Fax

(909) 799-1828

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Yolanda Arenas

Title

Office Manager

Phone

(909) 799-9944

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund Gornay

  • Orthopedic Physical Therapist
  • Loma Linda, CA
  • NPI 1316064181
  Medicare reassignment NPD
• Celina W Shelton, D.P.T.

  • Physical Therapist
  • Redlands, CA
  • NPI 1154504215
  NPD
• Robin K Lie, DPM

  • Podiatrist
  • Walnut Creek, CA
  • NPI 1689785131
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1871995175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11326 MOUNTAIN VIEW AVE",
            "address_2": "SUITE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543817",
            "telephone_number": "909-799-9944",
            "fax_number": "909-799-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11326 MOUNTAIN VIEW AVE",
            "address_2": "SUITE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543817",
            "telephone_number": "909-799-9944",
            "fax_number": "909-799-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND GORNAY PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "ARENAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-799-9944"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT22638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiumars Edalati
• Brandon Michael Edelbach
• Hayeon Lee Edelbach
• Thomas Alan Edell, M.D.
• Deandra Edison-Riley
• Donna Tolson Edmundson, RN, CNS
• Amanda Edwards
• Mark Savage Edwards, MD
• Matthew C Edwards, MD
• Nisha N Edwin

• Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, 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 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.