Individual provider Active NPI

Samantha Monge

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1316795883
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305982 Issued in CA
Practice address
6801 Park Ter Ste 200
Los Angeles, CA 90045-1546
Phone
(310) 665-7100
NPI assigned
May 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 305982 CA Primary

Addresses

Primary practice location

6801 Park Ter Ste 200
Los Angeles, CA 90045-1546

Mailing address

6801 Park Ter Ste 200
Los Angeles, CA 90045-1546

Other practice location 1

3633 Vista Way
Oceanside, CA 92056-4568
Phone (323) 907-0746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603001644 CA Practitioner - Physical Therapist in Private Practice 3779025036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

6801 Park Ter
Suite 200
Los Angeles, CA 90045-1546
Phone (310) 665-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305982CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Physical Therapy Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Oct 14, 2024 Accepting new patients

Locations

2704 Gateway Rd
Carlsbad, CA 92009
Phone (760) 729-7298

6801 Park Ter
Ste 200
Los Angeles, CA 90045
Phone (310) 621-7583

3633 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 729-7298

3633 Vista Way
Oceanside, CA 92056
Phone (760) 729-7298

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

1030 La Bonita Dr
Ste 240
San Marcos, CA 92078
Phone (760) 304-4608

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1316795883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451546",
            "telephone_number": "310-665-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564568",
            "country_code": "US",
            "telephone_number": "323-907-0746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.