Individual provider Active NPI

Joseph Anthony Santistevan

  • Sports Physical Therapist
  • Ojai, CA
National Provider Identifier
1730606468
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
293623 Issued in CA
Practice address
1975 Maricopa Hwy SPC 19
Ojai, CA 93023-2365
Phone
(805) 236-1612
NPI assigned
Aug 24, 2017
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 293623 CA Primary

Addresses

Primary practice location

1975 Maricopa Hwy SPC 19
Ojai, CA 93023-2365

Mailing address

1975 Maricopa Hwy SPC 19
Ojai, CA 93023-2365
Phone (805) 236-1612

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

LicenseStateTypeSpecialty
293623CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fierro Physical Therapy and Sports Performance Inc. CurrentSince Aug 14, 2022 Accepting new patients
Champs Physical Therapy and Sports Performance Inc. CurrentSince Mar 22, 2020 Accepting new patients
Premier Physical Therapy & Associates Inc Physical Therapist PastSince Jul 15, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1730606468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MARICOPA HWY SPC 19",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232365",
            "telephone_number": "805-236-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MARICOPA HWY SPC 19",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232365",
            "telephone_number": "805-236-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTISTEVAN",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "293623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.