Individual provider Active NPI

Elisa Marian Santizo, OT

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1538538103
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15663 Issued in CA
Practice address
6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440
Phone
(310) 215-1600
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15663 CA Primary

Addresses

Primary practice location

6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440

Mailing address

2231 Montana Ave Apt 2
Santa Monica, CA 90403-2138
Phone (424) 254-4831

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002537 CA Practitioner - Occupational Therapist in Private Practice 0143516211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15663CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 4, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Beaver Medical Group P C CurrentSince Mar 11, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 4, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 11, 2019 Accepting new patients
Meridian Hand Therapy Inc Occupational Therapist CurrentSince Oct 11, 2016 Accepting new patients
Meridian Hand Therapy Inc CurrentSince Oct 11, 2016 Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360
Phone (805) 449-1125

Organizations & group practices 7

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1538538103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 MONTANA AVE APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032138",
            "telephone_number": "424-254-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W CENTURY BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456440",
            "telephone_number": "310-215-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIZO",
        "first_name": "ELISA",
        "middle_name": "MARIAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.