Individual provider Active NPI

Jose Miguel Santino Del Mar, PT, DPT

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1497216659
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294982 Issued in CA
Practice address
450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259
Phone
(575) 390-7240
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 294982 CA Primary

Addresses

Primary practice location

450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259

Mailing address

450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259
Phone (575) 390-7240

Other practice location 1

450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259
Phone (575) 390-7240

Other practice location 2

450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259
Phone (575) 390-7240

Other practice location 3

450 N Mathilda Ave Apt F107
Sunnyvale, CA 94085-4259
Phone (575) 390-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

2426 Garfield Ave
Carmichael, CA 95608-5199
Phone (916) 910-7845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1497216659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MATHILDA AVE APT F107",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854259",
            "telephone_number": "575-390-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MATHILDA AVE APT F107",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854259",
            "telephone_number": "575-390-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Mathilda Ave Apt F107",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854259",
            "country_code": "US",
            "telephone_number": "575-390-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 N Mathilda Ave Apt F107",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854259",
            "country_code": "US",
            "telephone_number": "575-390-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 N Mathilda Ave Apt F107",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854259",
            "country_code": "US",
            "telephone_number": "575-390-7240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL MAR",
        "first_name": "JOSE MIGUEL SANTINO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.