Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BUENAVENTURA GAVIOLA AGRAVIADOR III, PTLA
Deactivated Sole ProprietorBUENAVENTURA GAVIOLA AGRAVIADOR III, PTLA is a Physical Therapy Assistant healthcare provider located in NORTHRIDGE, California. NPI 1366116170 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTHRIDGE, CA
This NPI has been deactivated.
The record was deactivated on February 21, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1366116170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2021 (1.5506849315068 yrs)
- Last Updated
- Aug 4, 2023
- Deactivated
- Feb 21, 2023
- License
-
PTLA (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18709 FRANKFORT STNORTHRIDGE, CA, 913244523Browse CA providers · Browse ZIP 91324
- Phone
- 8183589992
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NORTHRIDGE, CA
| Name | Credential | NPI |
|---|---|---|
| ANNE KATZ | PT | 1215974324 |
| RICHARD KATZ | PT | 1477590438 |
| LAWRENCE CUMMINGS | PT | 1942247911 |
| DR. JAINA BHAGAT PATEL | DPT | 1619083045 |
| VANESSA KURATA FINLEY | MPT | 1770669186 |
| MR. KAVEH SHOKOOHI SOODJANI | P.T. | 1508929043 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.