Active NPI
Ralph Santos, OTR
- Occupational Therapist
- Simi Valley, CA
National Provider Identifier
1083721369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT153
- Practice address
- 5447 Cochise St
Simi Valley, CA 93063-2049 - Phone
- (818) 731-7173
- Fax
- (626) 683-9969
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT153 | CA | Primary |
Addresses
Primary practice location
5447 Cochise St
Simi Valley, CA 93063-2049
Mailing address
5447 Cochise St
Simi Valley, CA 93063-2049
Phone (818) 731-7173
Other practice location 1
1650 E Walnut St
Suite A
Pasadena, CA 91106-1619
Phone (626) 683-9959
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT153 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Home Health Torrance LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Torrance, CA
- NPI 1174208490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1083721369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 COCHISE ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632049",
"telephone_number": "818-731-7173",
"fax_number": "626-683-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 COCHISE ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930632049",
"telephone_number": "818-731-7173",
"fax_number": "626-683-9969"
}
],
"practiceLocations": [
{
"address_1": "1650 E Walnut St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911061619",
"country_code": "US",
"telephone_number": "626-683-9959",
"fax_number": "626-683-9969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "RALPH",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.