Active NPI
Jason Samonte, RPT
- Physical Therapist
- Brea, CA
National Provider Identifier
1598869299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27960
- Practice address
- 357 Aqua Way
Brea, CA 92821-2161 - Phone
- (714) 784-6441
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT27960 | CA | Primary |
Addresses
Primary practice location
357 Aqua Way
Brea, CA 92821-2161
Mailing address
19110 Allingham Ave
Cerritos, CA 90703-6407
Phone (562) 522-1111
Other practice location 1
19110 Allingham Ave
Cerritos, CA 90703-6407
Phone (562) 522-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27960 | CA | MD | Physical Therapist |
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
- Brea, CA
- NPI 1073702965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1598869299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19110 ALLINGHAM AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036407",
"telephone_number": "562-522-1111",
"fax_number": "866-594-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 AQUA WAY",
"city": "BREA",
"state": "CA",
"postal_code": "928212161",
"telephone_number": "714-784-6441"
}
],
"practiceLocations": [
{
"address_1": "19110 Allingham Ave",
"address_purpose": "LOCATION",
"city": "Cerritos",
"state": "CA",
"postal_code": "907036407",
"country_code": "US",
"telephone_number": "562-522-1111",
"fax_number": "866-594-2592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMONTE",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.