Active NPI
Samantha Erin Sanchez
- Physical Therapy Assistant
- Laguna Woods, CA
National Provider Identifier
1053956227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 11172
- Practice address
- 24331 El Toro Rd
Laguna Woods, CA 92637-2752 - Phone
- (949) 586-3200
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 11172 | CA | Primary |
Addresses
Primary practice location
24331 El Toro Rd
Laguna Woods, CA 92637-2752
Mailing address
24515 Tarazona
Mission Viejo, CA 92692-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11172 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1053956227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24515 TARAZONA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926922350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24331 EL TORO RD",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926372752",
"telephone_number": "949-586-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "SAMANTHA",
"middle_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "11172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Woods, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.