Provider Demographics
NPI:1568511129
Name:CALUYA, GAY AUREA PIMENTEL (DPT)
Entity Type:Individual
Prefix:
First Name:GAY AUREA
Middle Name:PIMENTEL
Last Name:CALUYA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 KATYDID CT
Mailing Address - Street 2:MARTINEZ
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-2221
Mailing Address - Country:US
Mailing Address - Phone:510-375-3626
Mailing Address - Fax:
Practice Address - Street 1:761 KATYDID CT
Practice Address - Street 2:MARTINEZ
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2221
Practice Address - Country:US
Practice Address - Phone:510-375-3626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist