Active NPI
Mario Santos
- Physical Therapist
- Sunland, CA
National Provider Identifier
1588053805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27596
- Practice address
- 10754 Floralita Ave
Sunland, CA 91040-2363 - Phone
- (818) 472-2933
- NPI assigned
- Jan 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27596 | CA | Primary |
Addresses
Primary practice location
10754 Floralita Ave
Sunland, CA 91040-2363
Mailing address
10754 Floralita Ave
Sunland, CA 91040-2363
Phone (818) 472-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Panorama City, CA
- NPI 1629151469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1588053805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10754 FLORALITA AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402363",
"telephone_number": "818-472-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10754 FLORALITA AVE",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402363",
"telephone_number": "818-472-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MARIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.