Active NPI
Sandra Y. Kaneko, PTA, ATC, CEAS
- Athletic Trainer
- Orange, CA
National Provider Identifier
1164547469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1100 W Stewart Dr
Physical Rehab Services
Orange, CA 92868-3849 - Phone
- (714) 771-8222
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 3216 | CA | |
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1100 W Stewart Dr
Physical Rehab Services
Orange, CA 92868-3849
Mailing address
730 W 4TH St
Unit 219
Long Beach, CA 90802-7304
Phone (562) 435-6433
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 |
|---|---|---|---|
| AT 3216 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164547469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W 4TH ST",
"address_2": "UNIT 219",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908027304",
"telephone_number": "562-435-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W STEWART DR",
"address_2": "PHYSICAL REHAB SERVICES",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683849",
"telephone_number": "714-771-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANEKO",
"first_name": "SANDRA",
"middle_name": "Y.",
"credential": "PTA, ATC, CEAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 3216",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.