Individual provider Active NPI

Jake P Sarmiento, PT, DPT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1700543782
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7921 Professional Cir
Huntington Beach, CA 92648-1901
Phone
(714) 847-8751
NPI assigned
Nov 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7921 Professional Cir
Huntington Beach, CA 92648-1901

Mailing address

10702 Horton Ave
Downey, CA 90241-2112
Phone (562) 319-9996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220413002396 CA Practitioner - Physical Therapist in Private Practice 0840686119 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Ando and Aston Physical Therapy IncGroup PAC ID 0941191050, 5 clinicians
Shoreline Physical Therapy IncGroup PAC ID 7113814211, 6 clinicians

Practice addresses (Care Compare)

1111 W Town and Country Rd
Suite 1
Orange, CA 92868-4635
Phone (714) 997-5518

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

6200 E Canyon Rim Rd
113E
Anaheim, CA 92807-4317
Phone (714) 974-0330

9036 Adams Ave
Huntington Beach, CA 92646-3402
Phone (714) 963-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, Inc. CurrentSince Oct 13, 2025 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 11, 2023 Accepting new patients
Ando & Aston Physical Therapy, Inc. Physical Therapist CurrentSince Oct 12, 2025 Accepting new patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

6200 E Canyon Rim Rd
#113E
Anaheim, CA 92807
Phone (714) 974-0330

6200 E Canyon Rim Rd
#113E113E
Anaheim, CA 92807
Phone (714) 974-0330

9036 Adams Ave
Huntington Beach, CA 92646
Phone (714) 716-9373

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1111 W Town and Country Rd
Ste 1
Orange, CA 92868
Phone (714) 997-5518

Organizations & group practices 5

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1700543782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 HORTON AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412112",
            "telephone_number": "562-319-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 PROFESSIONAL CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481901",
            "telephone_number": "714-847-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "JAKE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.