Individual provider Active NPI

Christopher Santos Canlas, PT, DPT

  • Physical Therapist
  • San Pedro, CA
National Provider Identifier
1033889555
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300824 Issued in CA
Practice address
1294 W 6TH St Ste 101
San Pedro, CA 90731-2997
Phone
(310) 547-1850
Fax
(310) 547-1972
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 300824 CA Primary

Addresses

Primary practice location

1294 W 6TH St Ste 101
San Pedro, CA 90731-2997

Mailing address

232 S Kenwood St Apt 207
Glendale, CA 91205-1693
Phone (818) 489-3678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102003076 CA Practitioner - Physical Therapist in Private Practice 7315335882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

12264 El Camino Real
Suite 102
San Diego, CA 92130-3060
Phone (858) 509-9600

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as individual
Quality
92.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Physical Therapy & Sports Medical Physical Therapist CurrentSince Aug 25, 2021 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

12264 El Camino Real
Ste 102
San Diego, CA 92130
Phone (858) 509-9600

1294 W 6th St
Ste 101
San Pedro, CA 90731
Phone (310) 547-1850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1033889555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S KENWOOD ST APT 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051693",
            "telephone_number": "818-489-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312997",
            "telephone_number": "310-547-1850",
            "fax_number": "310-547-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "SANTOS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.