Samuel Richard Di Giovanni, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25826 Issued in CA

Practice address

1855 Cochran St Ste 109
Simi Valley, CA 93065-2265

Phone

(805) 526-2311

Fax

(805) 526-6608

NPI assigned

Dec 10, 2012

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PC 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ventura Orthopedics Medical Group, Inc.

  • Specialist
  • Ventura, CA
  • NPI 1871547315

  CA

  Medicare reassignment
• Custom P.T., a Physical Therapy Corp

  • Physical Therapist
  • Canoga Park, CA
  • NPI 1043342397
  NPD (past)
• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1780929299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 COCHRAN ST STE 109",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652265",
            "telephone_number": "805-526-2311",
            "fax_number": "805-526-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24051 Newhall Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555707",
            "country_code": "US",
            "telephone_number": "661-254-6364",
            "fax_number": "661-254-6787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI GIOVANNI",
        "first_name": "SAMUEL",
        "middle_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosan Mendoza Derayunan, FNP-BC
• Melissa Deanne Dethloff, MPT
• Ganesh L Devendra, MD
• DHZ Sleep LLC
• Josephine V Di Giacinto-Dovidio, D.D.S.
• Diament Wellness Marriage & Counseling, PC
• Alejandra Diaz
• Hector Alejandro Diaz
• George A Dichter, M.D.
• John Richard Dingilian, MD

• All providers in Simi Valley, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.