Individual provider Active NPI

Dominic Sturdivan

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1457202020
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309710 Issued in CA
Practice address
319 Anacapa St
Santa Barbara, CA 93101-2351
Phone
(805) 898-1907
NPI assigned
Feb 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 309710 CA Primary

Addresses

Primary practice location

319 Anacapa St
Santa Barbara, CA 93101-2351

Mailing address

1375 Vallecito PL
Carpinteria, CA 93013-1449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327003838 CA Practitioner - Physical Therapist in Private Practice 1052896917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

319 Anacapa St
Santa Barbara, CA 93101-2351
Phone (805) 898-1907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309710CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayashida & Associates Physical Therapy, Inc. Physical Therapist CurrentSince Mar 16, 2026 Accepting new patients
Sansum Clinic PastSince Mar 16, 2026 Accepting new patients

Locations

319 Anacapa St
Santa Barbara, CA 93101
Phone (805) 898-1907

Organizations & group practices 3

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": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1457202020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 VALLECITO PL",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012351",
            "telephone_number": "805-898-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVAN",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.