Individual provider Active NPI

Samantha Whiteside, DPT

  • Physical Therapist
  • Tarzana, CA
National Provider Identifier
1386236487
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299869 Issued in CA
Practice address
19510 Ventura Blvd Ste 106
Tarzana, CA 91356-2974
Phone
(818) 996-1725
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299869 CA Primary

Addresses

Primary practice location

19510 Ventura Blvd Ste 106
Tarzana, CA 91356-2974

Mailing address

19557 Crystal Ridge LN
Porter Ranch, CA 91326-3816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610003529 CA Practitioner - Physical Therapist in Private Practice 5698175701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vargo Physical Therapy, Inc.Group PAC ID 4486639143, 30 clinicians

Practice addresses (Care Compare)

25830 McBean Pkwy
Valencia, CA 91355-2004
Phone (661) 259-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299869CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vargo Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
California Rehab and Sports Therapy CurrentSince Apr 1, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Apr 1, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Vargo Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

44501 16th St W
Ste 107
Lancaster, CA 93534
Phone (661) 974-7033

11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970

19239 Golden Valley Rd
Santa Clarita, CA 91387
Phone (661) 250-9890

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

25176 Rye Canyon Rd
Valencia, CA 91355
Phone (661) 288-0300

25115 Avenue Stanford
Ste B135
Valencia, CA 91355
Phone (661) 250-9940

25830 McBean Pkwy
Valencia, CA 91355
Phone (661) 259-2621

25115 Avenue Stanford
#B135
Valencia, CA 91355

Organizations & group practices 5

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1386236487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19557 CRYSTAL RIDGE LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19510 VENTURA BLVD STE 106",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562974",
            "telephone_number": "818-996-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.