Paolo Andrew Sanque, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301358 Issued in CA

Practice address

9000 Murray Dr
La Mesa, CA 91942-3572

Phone

(619) 369-9700

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1164176350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 TOURNAMENT DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515629",
            "telephone_number": "661-202-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MURRAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423572",
            "telephone_number": "619-369-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANQUE",
        "first_name": "PAOLO ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elva Vanessa Sandoval
• Rebeca Sandoval, MD
• Ajmel S Sangha, M.D.
• Sanjay S Rao MD a Medical Corporation Inc.
• Stephanie Sankey, N.P.
• Chelsea Tara Sanscartier, PT
• Jenna Faith Sant-Wing, B.C.B.A.
• Nora Alicia Santiago
• Kimberly Leonora Santos
• Kimberly Pino Santos

• Physical Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.