Individual provider Active NPI

Ralph Santos, OTR

  • Occupational Therapist
  • Simi Valley, CA
National Provider Identifier
1083721369
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT153 Issued in CA
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

Updated by the provider on Jun 7, 2023

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 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

LicenseStateTypeSpecialty
OT153CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Home Health Torrance LLC PastSince May 23, 2023 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.

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.

Verify at the official NPI Registry.