Active NPI
Samuel Batin Paulino Jr.
- Physical Therapist
- Sun Valley, CA
National Provider Identifier
1295483717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19440
- Practice address
- 10500 Rainier St
Sun Valley, CA 91352-4150 - Phone
- (818) 915-8571
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19440 | CA | Primary |
Addresses
Primary practice location
10500 Rainier St
Sun Valley, CA 91352-4150
Mailing address
10500 Rainier St
Sun Valley, CA 91352-4150
Phone (818) 915-8571
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1295483717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 RAINIER ST",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524150",
"telephone_number": "818-915-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 RAINIER ST",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524150",
"telephone_number": "818-915-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULINO",
"first_name": "SAMUEL",
"middle_name": "BATIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "19440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.