Individual provider Active NPI

Sammy Omar Amasha, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1053412247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28634 Issued in CA
Practice address
3020 Wilshire Blvd
Suite 160
Los Angeles, CA 90010-1120
Phone
(213) 738-0045
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT28634 CA Primary

Addresses

Primary practice location

3020 Wilshire Blvd
Suite 160
Los Angeles, CA 90010-1120

Mailing address

3020 Wilshire Blvd
Suite 160
Los Angeles, CA 90010-1120
Phone (213) 738-0045

Other identifiers 1

IdentifierTypeStateIssuer
PT28634OtherCAPHYISCALTHERAPIST LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001058 CA Practitioner - Physical Therapist in Private Practice 8426057308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians

Practice addresses (Care Compare)

24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone (916) 651-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dy Care Rehabilitation Therapy,Inc Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Department of State Hospitals CurrentSince Jun 20, 2025 Accepting new patients
Department of State Hospitals CurrentSince Jun 20, 2025 Accepting new patients
Amasha Physical Therapy Inc Physical Therapist CurrentSince Nov 1, 2006 Accepting new patients
Sang Y. Kim, M.D., Inc. Past Accepting new patients
Napolitano Family Practice Medical Group, Inc. Past Accepting new patients

Locations

710 S Brookhurst St
Ste B
Anaheim, CA 92804
Phone (714) 829-4088

2707 W Olympic Blvd
Ste 203
Los Angeles, CA 90006
Phone (213) 739-6933

3030 W Olympic Blvd
Ste 220
Los Angeles, CA 90006
Phone (213) 738-7788

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053412247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD",
            "address_2": "SUITE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-738-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD",
            "address_2": "SUITE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-738-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMASHA",
        "first_name": "SAMMY",
        "middle_name": "OMAR",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYISCALTHERAPIST LICENSE",
            "identifier": "PT28634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.