Individual provider Active NPI

Victor Gutierrez Santos, RPT

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1730137712
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19896 Issued in CA
Practice address
15643 Sherman Way
Ste 450
Van Nuys, CA 91406-4163
Phone
(818) 988-0288
Fax
(818) 530-7889
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 19896 CA Primary

Addresses

Primary practice location

15643 Sherman Way
Ste 450
Van Nuys, CA 91406-4163

Mailing address

15643 Sherman Way
Ste 450
Van Nuys, CA 91406-4163
Phone (818) 913-9480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000575 CA Practitioner - Physical Therapist in Private Practice 5991705345 Reassigns benefits to 1 organization
Practice locations: Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15643 Sherman Way
Suite 450
Van Nuys, CA 91406-4163
Phone (818) 988-0288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Santos Physical Therapy Inc Physical Therapy CurrentSince Apr 2, 2021 Accepting new patients
Vilocorp Health Care Services Inc Physical Therapist PastSince Jan 1, 2008 Accepting new patients
Northridge Physical Therapy Center,Inc Physical Therapist Past Accepting new patients

Locations

15643 Sherman Way
Ste 450
Van Nuys, CA 91406
Phone (818) 988-0288

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730137712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "STE 450",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064163",
            "telephone_number": "818-913-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "STE 450",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064163",
            "telephone_number": "818-988-0288",
            "fax_number": "818-530-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "VICTOR",
        "middle_name": "GUTIERREZ",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.