Active NPI
Sanniel Cailao, PT
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1306420476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT309855
- Practice address
- 401 W Lincoln Ave Ste 100
Anaheim, CA 92805-2950 - Phone
- (714) 581-5971
- Fax
- (714) 581-5972
- NPI assigned
- May 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA49767 | CA | |
| Physical Therapist | 225100000X | PT309855 | CA | Primary |
Addresses
Primary practice location
401 W Lincoln Ave Ste 100
Anaheim, CA 92805-2950
Mailing address
401 W Lincoln Ave Ste 100
Anaheim, CA 92805-2950
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 |
|---|---|---|---|
| PT309855 | CA | MD | Physical Therapist |
| PTA49767 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1306420476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W LINCOLN AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W LINCOLN AVE STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052950",
"telephone_number": "714-581-5971",
"fax_number": "714-581-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAILAO",
"first_name": "SANNIEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA49767",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT309855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.