Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dipendra Gautam

Individual provider Geriatric Physical Therapist · NPI 1437879624

Dipendra Gautam is a Geriatric Physical Therapist in Madera, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

502 Traverse Dr S
Madera, CA 93636
Phone: (703) 626-9334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7942 N Maple Ave Ste 102, Fresno, CA 93720-0293 — (595) 396-4681
  • 113 Riverwalk Blvd S, Madera, CA 93636 — (703) 626-9334

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT298252 (CA)

Record details

NPI number1437879624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025
Mailing address7942 N Maple Ave Ste 102, Fresno, CA 93720-0293