Active NPI
Phillip A Sainz, PTA
- Physical Therapy Assistant
- San Juan Capistrano, CA
National Provider Identifier
1710587142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA50672
- Practice address
- 27136 Paseo Espada Ste B1103
San Juan Capistrano, CA 92675-2737 - Phone
- (949) 429-3220
- NPI assigned
- Oct 26, 2020
- 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 Therapy Assistant | 225200000X | PTA50672 | CA | Primary |
Addresses
Primary practice location
27136 Paseo Espada Ste B1103
San Juan Capistrano, CA 92675-2737
Mailing address
138 N Beaudry Ave Unit 333
Los Angeles, CA 90012-3369
Phone (626) 523-3277
Other practice location 1
27136 Paseo Espada
San Juan Capistrano, CA 92675-2728
Phone (949) 429-3220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA50672 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1710587142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N BEAUDRY AVE UNIT 333",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900123369",
"telephone_number": "626-523-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27136 PASEO ESPADA STE B1103",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926752737",
"telephone_number": "949-429-3220"
}
],
"practiceLocations": [
{
"address_1": "27136 Paseo Espada",
"address_purpose": "LOCATION",
"city": "San Juan Capistrano",
"state": "CA",
"postal_code": "926752728",
"country_code": "US",
"telephone_number": "949-429-3220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAINZ",
"first_name": "PHILLIP",
"middle_name": "A",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA50672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.