Abraham Santiago, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305091 Issued in CA

Practice address

4270 Riverwalk Pkwy Ste 114
Riverside, CA 92505-3374

Phone

(951) 324-4291

Fax

(951) 684-2980

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marketplace Physical Therapy Inc, a Professional CorporationGroup PAC ID 0244572964, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marketplace Physical Therapy Inc, a Professional Corporation

  • Physical Therapy Clinic/Center
  • Riverside, CA
  • NPI 1285190942

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• CJ Physiotherapy Inc

  • Physical Therapist
  • Tustin, CA
  • NPI 1639569312
  NPD
• Total Wellness Inc

  • Physical Therapist
  • Riverside, CA
  • NPI 1043304942
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1750155867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 MISSION INN AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074188",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 RIVERWALK PKWY STE 114",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053374",
            "telephone_number": "951-324-4291",
            "fax_number": "951-684-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Santana, LMFT
• Lesley Santana, NONE
• Luis A Santana, PA-C
• Michelle Santana
• Angela Ruth Santander Salazar
• Elizabeth Cameron Santiago
• Leslie Santiago, HIGH SCHOOL
• Terry Joan Santiago, NURSE PRACTITIONER
• Viviana Santiago
• Maureen Santiesteban, RN

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.