Individual provider Active NPI

Krishna Ashish Gumaste

  • Physical Therapist
  • Newbury Park, CA
National Provider Identifier
1972335073
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT306334 Issued in CA
Practice address
177 N Reino Rd
Newbury Park, CA 91320-3710
Phone
(805) 586-0290
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 PT306334 CA Primary

Addresses

Primary practice location

177 N Reino Rd
Newbury Park, CA 91320-3710

Mailing address

177 N Reino Rd
Newbury Park, CA 91320-3710
Phone (805) 586-0290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017000761 CA Practitioner - Physical Therapist in Private Practice 9335671163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newbury Park Physical Therapy IncGroup PAC ID 6204817596, 8 clinicians

Practice addresses (Care Compare)

2814 Camino Dos Rios
Suite 406
Newbury Park, CA 91320-1156
Phone (805) 375-1461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT306334CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Newbury Park Physical Therapy Inc. CurrentSince Mar 24, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients

Locations

321 N Larchmont Blvd
Ste 825
Los Angeles, CA 90004
Phone (323) 464-4458

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

2814 Camino Dos Rios
Ste 406
Newbury Park, CA 91320
Phone (805) 375-1461

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1972335073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-586-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N REINO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203710",
            "telephone_number": "805-586-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMASTE",
        "first_name": "KRISHNA",
        "middle_name": "ASHISH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT306334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.