Active NPI
Santiago Osorio, PT, DPT
- Physical Therapist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD0000 | Other | CA | MEDICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alicja Steiner MD a Professional Medical Corporation | Physical Therapist | Current | Accepting new patients |
| Breakingthrough San Diego Physical Therapy | Physical Therapist | Current | Accepting new patients |
| NH Camp Pendleton | Past | Accepting new patients | |
| Fort Lee Physical Therapy, P.C. | Physical Therapist | Past | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1093819419
Physical Therapist
-
- Physical Therapist
- Oceanside, CA
- NPI 1629618723
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Oceanside, CA
- NPI 1164742649
-
- Military General Acute Care Hospital
- Camp Pendleton, CA
- NPI 1386604387
-
- Physical Therapist
- Fort Lee, NJ
- NPI 1003050436
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.