Individual provider Active NPI

Samuel Cauble, DPT

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1578157228
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT299517 Issued in CA
Practice address
522 Jamacha Rd
El Cajon, CA 92019-2448
Phone
(619) 579-1625
Fax
(619) 579-1611
NPI assigned
Feb 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT299517 CA Primary

Addresses

Primary practice location

522 Jamacha Rd
El Cajon, CA 92019-2448

Mailing address

PO Box 2696
El Cajon, CA 92021-0696
Phone (858) 312-6444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000692 CA Practitioner - Physical Therapist in Private Practice 2668871716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

344 F St
Suite 300
Chula Vista, CA 91910-2647
Phone (619) 585-4080

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT299517CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Feb 3, 2022 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Single Specialty CurrentSince Feb 3, 2022 Accepting new patients
Nexus Physical Therapy Single Specialty CurrentSince Mar 15, 2021 Accepting new patients
Sharp Rees-Stealy Medical Center Physical Therapist Past Accepting new patients

Locations

344 F St
Ste 300
Chula Vista, CA 91910
Phone (619) 585-4080

522 Jamacha Rd
El Cajon, CA 92019
Phone (619) 579-1625

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

3200 4th Ave
Ste 100
San Diego, CA 92103
Phone (619) 293-3994

Organizations & group practices 4

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1578157228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2696",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920210696",
            "telephone_number": "858-312-6444",
            "fax_number": "858-312-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 JAMACHA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192448",
            "telephone_number": "619-579-1625",
            "fax_number": "619-579-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUBLE",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.