Active NPI
Candice Santos, P.T.
- Physical Therapist
- Encino, CA
National Provider Identifier
1295087385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 39275
- Practice address
- 5113 Haskell Ave
Encino, CA 91436-1505 - Phone
- (304) 951-1951
- NPI assigned
- Oct 12, 2012
- 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 Therapist | 225100000X | PT 39275 | CA | Primary |
| Physical Therapist | 225100000X | 001714 | WV |
Addresses
Primary practice location
5113 Haskell Ave
Encino, CA 91436-1505
Mailing address
5113 Haskell Ave
Encino, CA 91436-1505
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 |
|---|---|---|---|
| PT 39275 | CA | MD | Physical Therapist |
| 001714 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1295087385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5113 HASKELL AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5113 HASKELL AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361505",
"telephone_number": "304-951-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "CANDICE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 39275",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001714",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.