Individual provider Active NPI

Marjorie Mae Sianquita Santos, OTD, OTR/L

  • Occupational Therapist
  • Oxnard, CA
National Provider Identifier
1063131381
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24023 Issued in CA
Practice address
2051 Statham Blvd
Oxnard, CA 93033-3901
Phone
(805) 765-4773
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24023 CA Primary

Addresses

Primary practice location

2051 Statham Blvd
Oxnard, CA 93033-3901

Mailing address

22712 S Van Deene Ave
Torrance, CA 90502-2538
Phone (310) 986-7484

Other practice location 1

3418 Loma Vista Rd
Ventura, CA 93003-3016
Phone (805) 410-1352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108001519 CA Practitioner - Occupational Therapist in Private Practice 9436526217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

2236 Merton Ave
Los Angeles, CA 90041-1915
Phone (714) 915-2604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Occupational Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

2236 Merton Ave
Los Angeles, CA 90041
Phone (323) 257-7518

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

Organizations & group practices 1

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1063131381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22712 S VAN DEENE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022538",
            "telephone_number": "310-986-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 STATHAM BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930333901",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3418 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033016",
            "country_code": "US",
            "telephone_number": "805-410-1352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARJORIE MAE",
        "middle_name": "SIANQUITA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.