Active NPI
Jose Miguel Santino Del Mar, PT, DPT
- Physical Therapist
- Sunnyvale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1134001779
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.