Individual provider Active NPI

Santiago Osorio, PT, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1508145277
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42536 Issued in CA
Practice address
2424 Vista Way Ste 120
Oceanside, CA 92054-6178
Phone
(551) 574-7459
NPI assigned
Aug 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01408500 NJ
Physical Therapist 225100000X 42536 CA Primary

Addresses

Primary practice location

2424 Vista Way Ste 120
Oceanside, CA 92054-6178

Mailing address

2424 Vista Way Ste 120
Oceanside, CA 92054-6178
Phone (551) 574-7459

Other practice location 1

3772 Mission Ave Ste 122
Oceanside, CA 92058-1404
Phone (551) 404-9248

Other practice location 2

Naval Hospital Camp Pendleton
200 mercy circle
Oceanside, CA 92055-5191
Phone (760) 719-3675

Other identifiers 1

IdentifierTypeStateIssuer
VAD0000OtherCAMEDICATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828000773 CA Practitioner - Physical Therapist in Private Practice 5193997229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alicja Steiner MD a Professional Medical CorporationGroup PAC ID 9335146646, 3 clinicians

Practice addresses (Care Compare)

2100 5TH Ave
Suite 200
San Diego, CA 92101-2102
Phone (619) 948-8464

2424 Vista Way
Suite 120
Oceanside, CA 92054-6178
Phone (760) 696-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alicja Steiner MD a Professional Medical Corporation Physical Therapist CurrentSince Jan 14, 2015 Accepting new patients
Breakingthrough San Diego Physical Therapy Physical Therapist CurrentSince Jan 7, 2020 Accepting new patients
NH Camp Pendleton Past Accepting new patients
Fort Lee Physical Therapy, P.C. Physical Therapist PastSince Jun 2, 2024 Accepting new patients
Direct Health Medical Center, Inc. Past Accepting new patients

Locations

2424 Vista Way
Ste 120
Oceanside, CA 92054
Phone (551) 574-7459

2020 Camino del Rio N
Ste 210
San Diego, CA 92108
Phone (619) 948-8464

2100 5th Ave
#200
San Diego, CA 92101
Phone (619) 948-8464

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FADCDA

Organizations & group practices 6

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1508145277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 VISTA WAY STE 120",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "telephone_number": "551-574-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 VISTA WAY STE 120",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "telephone_number": "551-574-7459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3772 Mission Ave Ste 122",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581404",
            "country_code": "US",
            "telephone_number": "551-404-9248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Hospital Camp Pendleton",
            "address_2": "200 mercy circle",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920555191",
            "country_code": "US",
            "telephone_number": "760-719-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01408500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICATE",
            "identifier": "VAD0000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.