Jose Miguel Santino Del Mar, PT, DPT

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

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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)

Medicare enrollment (NPD)

Enrolled

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

• Reliant Senior Living LLC

  dba Living Rehab

  • Physical Therapist
  • San Diego, CA
  • NPI 1134001779
  Care Compare group

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": []
}

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• Department of Veterans Affairs
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• Physical Therapist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physical Therapist in California

• 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.